Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women fulfilling all of the following: • age =18 years (or according to local ethical approval) • singleton pregnancy • gestational age between 37+0 and 41+6 weeks • cephalic presentation • spontaneous labor • cervical dilatation exactly 5 cm • reassuring fetal heart rate • intact or ruptured membranes without evidence of chorioamnionitis • eligible for vaginal delivery • written informed consent
Exclusion criteria
Exclusion criteria: • contraindication to vaginal birth • cervical dilatation >5 cm • hypersensitivity to metoclopramide • epilepsy or history of seizures • Parkinson disease • previous extrapyramidal reaction • pheochromocytoma • bowel obstruction or perforation • refusal to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of the active phase of labor (minutes) | — |
Secondary
| Measure | Time frame |
|---|---|
| Need for oxytocin augmentation during labor.;Proportion of participants delivering by spontaneous vaginal delivery, operative vaginal delivery, or cesarean delivery.;Proportion of participants undergoing cesarean delivery because of labor dystocia or failure of labor progression;Number and proportion of participants experiencing adverse events following administration of the study intervention, including somnolence, headache, agitation, extrapyramidal symptoms, allergic reactions, or other clinically identified adverse events;Apgar score assessed using the standard 0-to-10 scale. | — |
Countries
Democratic Republic of the Congo
Contacts
CHEF DE DEPARTEMENT DE GYNECOLOGIE OBSTETRIQUE