Induction of Labor Affected Fetus / Newborn
Conditions
Brief summary
Induction of labor, is one of the most common obstetric procedures done routinely in modern obstetrics. For example, in USA, 23% of pregnant women in 2012 (about 1 million) underwent an induction of labor. However, accurate data about percentage of women undergoing induction of labor in Egypt is not accurately known. One of the recent research era in current obstetrics is the optimal intravenous (IV) hydration of the pregnant women in labor.Current evidences available in our hands, suggest that maternal hydration appears to fasten labor progress and enhance the action of oxytocin, if the later is used for augmentation. However, the addition of glucose supplementation to this IV hydration to enhance uterine contraction, as a matter of safety and efficacy, is controversial
Interventions
250 mL/hour of dextrose 5% intravenous drip
250 mL/hour of normal saline intravenous drip
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult (\>18 years) multiparous women * Late Term Pregnancy ( gestational Age Between 40-42 weeks) * Uncomplicated singleton pregnancy with cephalic presentation. * Favorable cervix for induction (Bishop score\<6) without ruptured membranes.
Exclusion criteria
* Women with chronic diseases or complicated pregnancy; gestational and pre gestational ( type 1 & 2)diabetes, preeclampsia and\\or renal and\\or maternal heart diseases. * Non-cephalic presentations, multiple pregnancies, or cervix unfavorable for induction. * Other indications for cesarean delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the duration of labor | 24 hours | the duration from the beginning of active labor (cervical exam between 3 and 5 cm with regular uterine contractions) to fetal delivery, reported in minutes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of cesarean sections | 24 hours | the number of cases delivered by cesarean section |
Countries
Egypt