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Vaginal examination performed routinely at 8 hours or at 4 hours after starting the oxytocin drip to augment the labour of women delivering their first child

Not Applicable
Conditions
Oxytocin augmentation of labour
Pregnancy and Childbirth
Registration Number
ISRCTN77253756
Lead Sponsor
niversity Malaya Medical Centre
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
Female
Target Recruitment
248
Inclusion Criteria

1. Spontaneous labour
2. Nulliparous (no prior pregnancy >22 weeks)
3. Singleton pregnancy
4. Gestational age of =37 weeks
5. 18 years old and above
6. Cervical dilatation at <6 cm
7. Oxytocin augmentation for labour delay actioned and started

Exclusion Criteria

1. Abnormal fetal heart rate tracing
2. Previous uterine trauma (myomectomy, hysterotomy, perforation)
3. Major fetal malformation
4. Meconium staining of liquor
5. Chorioamnionitis
6. Severe preeclampsia
7. Non-reassuring maternal status
8. Contraindication for vaginal delivery

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Augmentation to delivery interval measured after delivery, calculated from the recorded date and time of the start of oxytocin augmentation and date and time of birth, variable will be in hours.<br>2. Maternal satisfaction with the allocated vaginal examination regimen, obtained as soon as possible on the postnatal ward and before their discharge, participants will be asked:<br>2.1. To rate using an 11-point (0-10) (visual numerical rating scale - VNRS) their satisfaction with the allocated intervention of vaginal examination at 4 or 8 hours <br>2.2. To provide a response using a 5-grade Likert scale on if they will recommend their allocated intervention of vaginal examination at 4 or 8 hours to a friend, graded from strongly agree, agree, neither agree nor disagree, disagree to strongly disagree
Secondary Outcome Measures
NameTimeMethod
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