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The Comparison of Efficacy for Cervical Ripening in Labor Induction Between Titrated and Conventional Oral Misoprostol

Phase 4
Completed
Conditions
Cervical Ripening
Labor Induction
Interventions
Registration Number
NCT00886860
Lead Sponsor
Mahidol University
Brief Summary

The purpose of this study is to compare the efficacy for cervical ripening in labor induction between titrated and conventional oral misoprostol

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
64
Inclusion Criteria
  • age 18 years old or more
  • singleton pregnancy at 37 weeks gestation or more
  • cephalic presentation
  • reassuring fetal heart rate pattern
  • admission for labor induction due to medical or obstetrical conditions
  • bishop score less than 6
  • giving consent and having signed the consent form for this study
Exclusion Criteria
  • parity more than 3
  • estimated fetal weight more than 3,500 grams
  • non-reassuring fetal heart rate pattern
  • having contraindication for vaginal delivery
  • previous uterine scar
  • suspected abruptio placenta with non-reassuring fetal heart rate pattern
  • abnormal bleeding per vagina, except bloody show
  • PROM
  • having underlying cardiac, hepatic, or renal diseases
  • having history of allergy to misoprostol or prostaglandin analogues
  • cervical dilatation 3 centimeters or more
  • uterine contraction 3 times or more in 10 minute

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
conventional oral misoprostolmisoprostolmisoprostol 50 micrograms oral every 4 hours until cervical dilatation 3 centimeters
titrated oral misoprostolmisoprostolmisoprostol 20 micrograms oral every hour until cervical dilatation 3 centimeters
Primary Outcome Measures
NameTimeMethod
success rate of cervical ripening in labor induction12 hours after intervention
Secondary Outcome Measures
NameTimeMethod
number of vaginal delivery24 hours

Trial Locations

Locations (1)

Siriraj Hospital, Mahidol University

🇹🇭

Bangkok, Thailand

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