Cervical ripening
Conditions
Interventions
Using computer generated random numbers, a stratified (primip/multip) block randomization technique and sequentially numbered sealed opaque envelopes, women fulfilling the inclusion criteria admitted
Sponsors
Department of Obstetrics & Gynecology
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women with uncomplicated pregnancies at 40 weeks+ 6 days gestation with a Modified Bishop score (MBS)<5 2. Having a singleton fetus in a cephalic presentation
Exclusion criteria
Exclusion criteria: 1. Pregnancy Induced Hypertension 2. Gestational Diabetes Mellitus 3. Multiple pregnancies 4. Planned Caesarean section, 5. Fetal Growth Restriction , 6. Scarred uteruses
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Number of women establishing spontaneous onset of labour (SOL) within 24 hours of the interventions. 2.MBS after 24 hours of the interventions 3.The change of MBS after 24 hours of the interventions 4.Number of women with MBS> 7 after 24 hours of the interventions 5.The induction delivery interval following Induction of labor (IOL) with amniotomy and oxytocin intravenous infusion,24 hours after the interventions, in those favourable for IOL [After 24 hours of the interventions] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mode of delivery and the reason for operative delivery 2. Oxytocin use 3. Maternal morbidity • Post partum blood transfusion and number of packed cells • Tachysystole • Hyperstimulation • Uterine rupture • Maternal infection during labour • Use of intravenous antibiotics 4. Fetal and Neonatal outcome and morbidity: • Fetal tachycardia • Weight at birth • Meconium-stained liquor • Apgar scores <5 at 1 minute • Admission to the neonatal ward/NICU and its reason [Between 24 to 48 hours after the intervention] | — |
Countries
Sri Lanka
Contacts
Public ContactPofessor Malik Goonewardene
Senior professor & Head
Outcome results
None listed