Active management of labor versus expectant management in first nulliparas with a prolonged latent phase: a randomized trial
- Conditions
- Pregnancy and Childbirthother
- Registration Number
- PACTR202308714803965
- Lead Sponsor
- hedi cheker hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- Female
- Target Recruitment
- 340
? Spontaneous entry into labor.
? A prolonged latent phase of labor (absence of cervical dilation beyond four centimeters after eight hours of regular uterine contractions (UC)).
? nulliparous (No previous pregnancy > 20 weeks).
? PFE between 2000 gram(g) and 4000g.
? The presence of CUs (at least 1 CU/30 min).
? Cervical dilation = 3 cm.
? Pocket of water (PDEA) intact.
? First trimester ultrasonography done.
? Pregnancy term (TG): = 37SA.
? A single, progressive pregnancy.
? Summit presentation.
? A good bony pelvis.
? Normal oscillating, normal reactive fetal heart rhythm recording (ERCF).
? Bishop score = 6.
? Estimated fetal weight = 4000 g or = 2000 g.
? Induction of labor
? Contraindications to vaginal delivery.
? Scar womb (history of uterine surgery).
? Presence of a history of significant disease vs. direction of labor.
? Multiparity.
? TG < 37 SA.
? Bishop score < 6.
? Presentation other than summit.
? Pathological ERCF.
? Unexplained placenta previa or metrorrhagia.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The rate of cesarean section was 35.6% in the overall population, including 27.6% in the expectant management group versus 43.5% in the active management group; p<0.001.<br>The rate of forceps delivery was 4.7% for the Expectative Management Group versus 10% for the Active Management Group; p<0.001<br>The rate of vaginal delivery without forceps was 67.6% for the Expectative Management Group versus 46.5% for the Active Management Group; p<0.001<br>
- Secondary Outcome Measures
Name Time Method