Cervical ripening among nulliparous women
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Nulliparous women Singleton pregnancy Cephalic presentation Gestational age =37 weeks confirmed by early ultrasound or reliable LMP Unfavourable cervix (Bishop score =6) Indicated for induction of labour Age 18–40 years Provided written informed consent
Exclusion criteria
Exclusion criteria: Previous Caesarean Section Previous Myomectomy Previous uterine rupture repair Known hypersensitivity to Misoprostol Known hypersensitivity to hyoscine Multiparous women Non-consenting patient Contra-indications to vaginal delivery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time (in hours) to achieve cervical ripening defined as Bishop score of =6 | — |
Secondary
| Measure | Time frame |
|---|---|
| Induction-to-delivery interval Need for additional misoprostol doses. Mode of delivery (vaginal vs caesarean section) Maternal adverse effects Neonatal outcomes (Apgar score at 1 and 5 minutes) | — |
Countries
Nigeria
Contacts
Senior registrar Department of Obstetrics and Gynecology UNIOSUN Teaching Hospital Osogbo