Artificial versus Spontaneous rupture of fetal membranes in management of spontaneous labour
Conditions
Interventions
Artificial rupture of membranes
Spontaneous Amniotomy
Sponsors
Areo Olubusayo
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: . Consenting pregnant women with spontaneous labour at gestational age of between 37weeks and 41weeks 6days. . Live singleton fetus with vertex presentation . Patients with intact membranes at presentation in labour . Cervical dilatation of 4cm-5cm at presentation
Exclusion criteria
Exclusion criteria: . Ruptured membranes . Obstetric and medical complications such as antepartum hemorrhage, hypertensive disorders in pregnancy, diabetes in pregnancy . Malpresentation . Multiple pregnancy . Gestational age 42 completed weeks . Contraindications to vaginal delivery . HIV positive patients and those with unknown HIV status . Intrauterine fetal death. . Previous caesarean section scar . Diagnosis of congenital anomaly in the fetus. . Meconium stained liquor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures will be the duration of labour from first vaginal examination in active phase of labour to delivery of the baby, rate of cervical os dilatation and the need for augmentation with oxytocin and dosage of oxytocin required. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome measures will be the incidence of fetal heart rate abnormalities, mode of delivery, neonatal outcome using the APGAR scores at 1 and 5 minutes and admission into neonatal unit. The Caesarean section rates for both groups will be calculated and compared. | — |
Countries
Nigeria
Contacts
Public Contactkikelomo Adesina
Professor of Obstetrics and Gynaecology
Outcome results
None listed