Labour
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Consenting nulliparous women at term (37–42weeks) 2. Singleton fetus in cephalic presentation 3. Spontaneous labour onset with cervical dilatation =5cm. 4. Intact membranes or spontaneous rupture <12 hours. 5. No prior use of uterotonic or antispasmodic medications.
Exclusion criteria
Exclusion criteria: 1. Contraindications to vaginal delivery 2. Multiple gestation 3. Medical disorders in pregnancy 4. Antepartum haemorrhage 5. Foetal distress or congenital anomalies 6. History of uterine or cervical surgery 7. Known allergy to Hyoscine Butylbromide
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in the mean duration of the active phase of labour between the intervention group (HBB) and the control group. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Proportion of women who progressed to spontaneous vaginal delivery in each group - Proportion of women who had assisted vaginal delivery, or caesarean section - Proportion of women requiring labour augmentation with oxytocin - Duration of second stage of labour - Incidence of maternal side effects (e.g., dry mouth, tachycardia, blurred vision or any other documented adverse events). - Neonatal outcome - APGAR in 1 and 5 minutes and need for NICU admission. - Estimated blood loss | — |
Countries
Nigeria
Contacts
Senior Registrar ABUTH