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Evaluation of the effect of oral and vaginal isosorbide mononitrate tablets and oral propranolol tablets on cervical preparation.

Phase 3
Conditions
cervical ripening.
Registration Number
IRCT20201003048910N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
120
Inclusion Criteria

Includes 37-40 weeks gestation
live fetus
Noli Par
single fetus
cephalic
intact membranes
under two bishop scores
fetal weight less than 4 kg
normal fetal health monitoring result
no uterine contractions
There were no systemic problems in the history and clinical examination.

Exclusion Criteria

Abnormality of fetal appearance with pelvis or non-cephalic
presence of uterine scar
previous history of cesarean section
history of cervical cone (conization)
polyhydramnios
history of drug allergy
contraindications to vaginal delivery
aginal bleeding during third trimester
placenta previa
multiple pregnancy
suspected fetal abnormality
bishop score above 3
uterine contractions
uncertain NST
chorioamnionitis
history of asthma
active genital herpes
any contraindications to induction of labor
systolic pressure less than 90
Cardiovascular disease
severe preeclampsia
alcoholism
history of headache

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cervical ripening. Timepoint: 24 hours after the start of the study. Method of measurement: vaginal examination.
Secondary Outcome Measures
NameTimeMethod
Duration of the first phase of labor (including latent and active phase). Timepoint: During the study. Method of measurement: Observation and examination.;Duration of the second stage of labor (from complete dilatation to fetal delivery ). Timepoint: During the study. Method of measurement: Observation and examination.;Duration of the third stage of labor (from the time of embryo departure to complete placental abruption). Timepoint: During the study. Method of measurement: Observation and examination.;Method of childbirth. Timepoint: During the study. Method of measurement: Observation and examination.;Maternal complications (headache, nausea, vomiting and dizziness). Timepoint: During the study. Method of measurement: Observation and examination.;Neonatal outcomes (first and fifth minute Apgar score, umbilical cord PH, neonatal hospitalization in intensive care unit). Timepoint: During the study. Method of measurement: Observation and examination.
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