Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. First time pregnant mothers b. Aged 20-35 years c. Gestational age of 37 to 41 weeks d. Singleton foetus in cephalic presentation e. Spontaneous onset of labour. f. Active phase labour(cervical dilatation of 5cm to 7cm) g. Spontaneous rupture of membranes < 2hours
Exclusion criteria
Exclusion criteria: a. Maternal age below 20 and above 35 years b. Referred and unbooked mothers c. Multiple pregnancies d. Previous uterine scar e. Foetal Malpresentation f. Antepartum haemorrhage g. Induced labour h. Rupture of foetal membranes (>2 hours) i. Contraindications to vaginal delivery, j. Mothers on cervical cerclage, k. Maternal pyrexia and l. Allergy to HBB m. Co-morbidities like pre-eclampsia, cardiac, renal and liver disorders, asthma, sicklers, epilepsy, hypertension and diabetes mellitus n. History of infertility. o. Absolute contraindications to HBB like paralytic ileus, intestinal obstruction, myasthenia gravis, mechanical gastrointestinal tract stenosis p. Down’s syndrome q. Hyperthyroidism r. Heart failure s. Gastro-oesophageal reflux disease (GERD) t. Urinary incontinence u. Severe constipation v. Untreated narrow angle glaucoma w. Allergy to belladonna alkaloids x. Megacolon/Hirschsprung’s disease y. Prostatic hypertrophy with urinary retention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| duration of active phase of labour | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of second and third stage of labour, analgesic effect, maternal side effects, Caesarean section rate, cervical laceration rate, estimated blood loss post delivery, fetal outcome | — |
Countries
Nigeria
Contacts
professional consultant