Active management of labor versus expectant management in first nulliparas with a prolonged latent phase: a randomized trial

Not Applicable

Completed

• Conditions: Pregnancy and Childbirth; other

• Registration Number: PACTR202308714803965
• Lead Sponsor: hedi cheker hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2023-07-20
• Last Update Posted: 2024-03-04

Recruitment & Eligibility

• Status: Complete
• Sex: Female
• Target Recruitment: 340

Inclusion Criteria

? 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.

Exclusion Criteria

? 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