Induction of labour
Conditions
Interventions
1. Misoprostol at home
2. Foley catheter at home.
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Vital singleton pregnancy in cephalic presentation Intact membranes Gestational age of 37 weeks or more Unfavourable cervix (Bishop score
Exclusion criteria
Exclusion criteria: History of a Caesarean section or other uterine surgery with risk of uterine rupture Non-reassuring cardiotocography Suspected severe fetal growth restriction defined as EFW
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Number of Foley catheters used/ misoprostol gifts Induction to delivery time Spontaneous or artificially ruptured membranes More than one induction agent required Mode of delivery Use of analgesics during labour Use of oxytocin (for induction or augmentation) Use of tocolytics Postpartum hemorrhage, need for a blood transfusion Uterine hyperstimulation Maternal death Cardiorespiratory arrest Hysterectomy for any complications resulting from birth Intensive care admission Pulmonary embolus or stroke Maternal birth trauma (2nd, 3rd or 4th degree tears) Maternal satisfaction/ preferences about both induction and labour Total admission time, ante and postpartum. Total amount of re-admissions before scheduled admission in home group and reasons for readmission Maternal infection Meconium stained liquor Gender Birth weight Apgar scores Admissions to the neonatal ward/NICU and reason why Extensive cost analysis (see protocol paragraph 8.1.2) | — |
Primary
| Measure | Time frame |
|---|---|
| The main endpoint regarding safety will be a composite outcome of neonatal asphyxia (defined as a neonatal pH*7.05 and/or 5 minute Apgar | — |
Countries
Netherlands
Outcome results
None listed