Induction of labour
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women with uncomplicated pregnancies 2. 40 weeks + 5 days gestation 3. Modified Bishop score (MBS) of < 6 4. Singleton pregnancy 5. Cephalic presentation 6. Intact membranes
Exclusion criteria
Exclusion criteria: 1. Pregnancy induced hypertension 2. Gestational diabetes mellitus 3. Fetal growth restriction 4. Previous caesarean delivery 5. Scarred uterus 6. Hypersensitivity to misoprostol 7. Contraindication for a vaginal delivery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of women establishing labour or becoming favorable for induction of labour (IOL) with Modified Bishop’s Score (MBS) > 6 within 48 hours 2. Change in MBS after 48 hours of the intervention 3. Intervention to delivery time in those who established labour following intervention at 40 weeks + 5 days of gestation 4. The induction delivery interval (IDI),following IOL with antimony and oxytocin 48 hours after the interventions, in those favorable for IOL [After 48 hours of the intervention] | — |
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 • Uterine Hyperstimulation • Uterine rupture • Maternal infection during labour • Use of intravenous antibiotics 4. Fetal and Neonatal outcome and morbidity: • Suspicious cardiotocogram (CTG) • Pathological CTG • Birth weight • Meconium-stained liquor • APGAR scores < 5 at 1 minute • Admission to the neonatal ward / NICU and its reason [At the time of discharge of the mother and the baby from the hospital] | — |
Countries
Sri Lanka
Contacts
Senior Professor & Chair