Induced Vaginal Delivery
Conditions
Keywords
Labour induction, Cervical glandular area
Brief summary
Women who fulfil the inclusion criteria and who are planned for labour induction will be recruited. Bishop score, cervical length, and the presence of cervical glandular area (CGA) will be documented for every patient up to 12 hours prior to the induction process, and patient information and maternal and neonatal outcome will be documented following the delivery.
Detailed description
Patient consent to participate in the study will be retrieved following the medical decision of labor induction and the mode of induction and following the patient consent to the induction. Bishop score, cervical length, and the presence of cervical glandular area (CGA) will be documented for every patient up to 12 hours prior to the induction process. The method of induction, data regarding patient demographics, the progress of labor, and the maternal and neonatal outcome will be documented following the delivery.
Interventions
DIAGNOSTIC_TESTUltrasound examination
Women that are planned for labour induction, will undergo a routine ultrasound examination prior to the initiation of the induction process.
Sponsors
Rambam Health Care Campus
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Singleton and twins' pregnancies * Pregnancy 34-41 weeks of gestation * Vertex presentation * Induction methods (Oxytocin, prostaglandin 1 (PGE1), prostaglandin 2 (PGE2), double balloon catheter, rupture of memebrane (ROM)
Exclusion criteria
* Intrauterine fetal demise (IUFD) * Contraindication to vaginal delivery * Status post cervical cerclage * Previous attempt of labor induction * History of cervical surgery * Active vaginal bleeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Onset of active labour | Up to delivery | Percent of patients that reached the active stage of labour (defined as measurement of cervical dilation of greater than 6 cm) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time from Induction to delivery | Up to delivery | Duration of time from initiation of labpur induction to delivery |
| Rate of vaginal delivery | Up to delivery | The rate of patient that deliver vaginally including instrumental deliverires |
| Time from Induction to second stage | Up to delivery | Duration of time from initiation of labpur induction to cervical dilation of 10cm |
| Neonatal outcome - APGAR (Apearance, Pulse, Grimace, Activity, Respiration score) | Up to 5 minutes from delivery | The fetal APGAR score as recieved by pediatrician |
| Neonatal outcome - NICU (Neonatal Intensive Care Unit) admission | Up to 48 hours from delivery | Percent of neonated that requiered NICU admission |
| Neonatal outcome - PH | Up to 10 minutes from delivery | The fetal arterial pH measuerment following the delivery |
Contacts
Primary ContactSaar Aharoni, M.D
Outcome results
None listed