Heart; Disease,Complicating Pregnancy, Pre-existing Clinical Trial
Official title:
ELECTIVE INDUCTION OF LABOUR VS SPONTANEOUS LABOUR IN WOMEN WITH HEART DISEASE - A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL
Fifty pregnant patients with acquired and congenital heart disease between 38-41 weeks were randomised into elective induction and spontaneous labour groups only after bishop score was equal to or more than 6.It was concluded that induction of labour with oxytocin is a relatively safe procedure in women with low risk heart disease with NYHA class I and II. It resulted in a similar caesarean delivery rate and was not associated with more maternal and neonatal complications.
Induction of labour was done with oxytocin. An infusion of 30U oxytocin diluted in 500ml
normal saline was prepared and given through infusion pump at initial rate of 3mU/min.
Subsequently dose was increased 3mU/min every 45 min till adequate uterine contractions were
established.
Epidural analgesia was provided wherever feasible or Injection Morphine 2-5mg was given
intravenously for pain relief.
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Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment