Artificial versus spontaneous amniotomy in management of spontaneous labour at the university of ilorin teaching hospital: a randomized control trial.
- Conditions
- Artificial versus Spontaneous rupture of fetal membranes in management of spontaneous labour
- Registration Number
- PACTR202303865241285
- Lead Sponsor
- Areo Olubusayo
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Female
- Target Recruitment
- 222
. Consenting pregnant women with spontaneous labour at gestational age of between 37weeks and 41weeks 6days.
. Live singleton fetus with vertex presentation
. Patients with intact membranes at presentation in labour
. Cervical dilatation of 4cm-5cm at presentation
. Ruptured membranes
. Obstetric and medical complications such as antepartum hemorrhage, hypertensive disorders in pregnancy, diabetes in pregnancy
. Malpresentation
. Multiple pregnancy
. Gestational age < 37completed weeks/ > 42 completed weeks
. Contraindications to vaginal delivery
. HIV positive patients and those with unknown HIV status
. Intrauterine fetal death.
. Previous caesarean section scar
. Diagnosis of congenital anomaly in the fetus.
. Meconium stained liquor
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcome measures will be the duration of labour from first vaginal examination in active phase of labour to delivery of the baby, rate of cervical os dilatation and the need for augmentation with oxytocin and dosage of oxytocin required.
- Secondary Outcome Measures
Name Time Method The secondary outcome measures will be the incidence of fetal heart rate abnormalities, mode of delivery, neonatal outcome using the APGAR scores at 1 and 5 minutes and admission into neonatal unit. The Caesarean section rates for both groups will be calculated and compared.