To see how the circumferenc eof babys head and length of cervix in the mother affect the type of delivery and outcomes in baby.

Not yet recruiting

Conditions: Complication of labor and delivery, unspecified,

Registration Number: CTRI/2019/02/017708

Lead Sponsor: Kasturba Hospital

Brief Summary: All pregnant patients meeting the Inclusion criteria will be recruited for the study. Informed consent will be taken from patient and a witness. Patient information sheet with the study details will be provided to them. patient details will be filled in the proforma. Per abdomen palpation of fetal head will be done by Crichton’s manoeuvre. Per vaginal examination will be done to measure cervical length, dilatation, position, consistency and station of head ( Bishop’s score). Head circumference measured any time after 36 weeks will be considered. Cervical length will be measured by Transvaginal sonography by strict aseptic techniques. Patients will be induced according to Kasturba hospital protocol with Cerviprime/ Misoprostol. They will be followed up till delivery. The mode of delivery will be noted- vaginal/ instrumental / emergency LSCS. The APGAR score of the newborn at 1 and 5 mins will be noted. Other fetal outcomes like respiratory distress syndrome, necrotising enterocolitis, sepsis, NICU stay, need for assisted ventilation, etc will be noted. It will be determined if head circumference and cervical length are important predictors of successful induction of labour.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: Female

Target Recruitment: 470

Inclusion Criteria

37 weeks-40 weeks 3 days POG Singleton pregnancy EFW 2.5.
3.5kg Cephalic presentation.

Exclusion Criteria

Elective C section due to CPD, previous LSCS, IUGRetc Spontaneous vaginal delivery Antepartum hemorrhage (placenta praevia, abruption) Breech, transverse lie Previous H/O any uterine surgeries- previous LSCS, myomectomy Any unanticipatied event in labor like abruption, cord prolapse.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Modes of delivery- normal vaginal deliveries, forceps and vacuum assisted	August 2020
deliveries, Emergency LSCS	August 2020
Fetal outcomes- APGAR score, NICU stay, other neonatal complications.	August 2020

Secondary Outcome Measures

Name	Time	Method
To determine if Ultrasonographically measured parameters like Head circumference and cervical length measured prior to induction of labour are better predictors of succesful induction than the conventional bishops score.	August 2020

Trial Locations

Locations (1): Kasturba Hospital
🇮🇳
Udupi, KARNATAKA, India
Kasturba Hospital
🇮🇳Udupi, KARNATAKA, India
Dr Sapna V Amin
Principal investigator
9880916061
drsapnagoni@rediffmail.com