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Comparing 3-hourly with 6-hourly dinoprostone vaginal tablet for labour induction in nulliparous women with an unfavourable cervix at term

Completed
Conditions
Pregnancy and Childbirth
abour induction in nullliparous women with an unfavourable cervix at term
Registration Number
ISRCTN94131405
Lead Sponsor
niversity of Malaya (Malaysia)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
238
Inclusion Criteria

1. Scheduled for induction of labour
2. Nulliparous (no previous delivery > 20 weeks)
3. Term gestation (= 37 weeks)
4. Bishop score on recruitment = 6
5. Intact membranes
6. Singleton pregnancy
7. Cephalic presentation
8. Reassuring cardiotocogram

Exclusion Criteria

1. Previous uterine incision or injury (e.g. myomectomy, perforation)
2. Known severe fetal anomaly
3. No significant contractions (< 1 in 10 minutes)
4. Allergy to dinoprostone

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Vaginal delivery in 24 hours<br>2. Maternal satisfaction with the birth process using a 10 point numerical rating scale
Secondary Outcome Measures
NameTimeMethod
1. Mode of delivery (and indications for operative delivery)<br>2. Neonatal outcome (admission, umbilical cord blood pH, Apgar score)<br>3. Analgesia use in during induction and labour<br>4. Cardiotocogram abnormalities in first 12 hours of labour induction (including tachysystole, hypertonus, hyperstimulation)<br>5. Meconium stained liquor<br>6. Blood loss during labour and delivery<br>7. Maternal fever (any maternal temperature = 380 C during labour or before discharge)<br>8. Maternal pain score at 6 hours of labour induction (if undelivered)<br>9. Induction to delivery interval<br>10. Induction to hospital discharge interval
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