Pregnancy and Childbirth labour augmentation
Conditions
Interventions
Immediate intravenous oxytocin following Amniotomy
Delayed intravenous oxytocin following amniotomy
Sponsors
Kenyatta National Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pregnant mothers who: 1.Provide informed consent 2.Have intact membranes at 37 completed weeks or greater. 3. Have singleton vertex pregnancies. 4.Require ARM (at cervical dilatation of 4 cm) for example due to inadequate uterine contractions or poor progress in labour.
Exclusion criteria
Exclusion criteria: Pregnant mothers in labour with: 1.Multiple gestation. 2.Malpresentation (non-vertex) 3.Previously had uterine surgery. 4.Virally unsuppressed HIV infection. 5.Non-reassuring fetal status prior to amniotomy. 6.Post amniotomy meconium stained liquor, fetal tachycardia, fetal bradycardia, umbilical cord or limb prolapse. 7.Antepartum hemorrhage due to any cause. 8.Hypertensive disease, Diabetes and Cardiac disease in pregnancy. 9.Known/ suspected fetal growth restriction. 10.Parity > 5 (grand multipara)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Amniotomy to delivery duration in hours and minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| Mode of delivery;maternal satisfaction with augmentation process;neonatal outcome;incidence of umbilical cord prolapse;incidence of uterine hyperstimulation;incidence of adverse neonatal outcomes | — |
Countries
Kenya
Contacts
Public ContactOnesmus Gachuno
Senior lecturer, department of Obstetrics and Gynecology. Consultant Obstetrician and Gynecologist
Outcome results
None listed