Labor, Induced Clinical Trial
Official title:
Cervical Ripening at Term With Prostaglandin E2 Tablets Versus Foley Catheter: a Randomized Controlled Trial
A randomized controlled trial comparing labor induction with vaginal PGE2 tablets and foley catheter for cervical ripening.
Status | Recruiting |
Enrollment | 300 |
Est. completion date | July 2017 |
Est. primary completion date | July 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Singleton term pregnancies (>37 weeks), vertex presentation - Intact membranes - Low Bishop score (<7) - First, second or third delivery - Medical indication for induction - Viable fetus Exclusion Criteria: - Contraindication for vaginal delivery, for PGE2 or foley catheter - Gestational age<37 weeks, premature rupture of membranes, fetal or uterine malformations, previous cesarean section, uncertain dating, unwilling to participate in trial |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Israel | Edith Wolfson Medical Center | Holon |
Lead Sponsor | Collaborator |
---|---|
Wolfson Medical Center |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time to active labor | Hours from foley cather placement or first PGE2 tablet placment to active labor, defined as cervical dilitation >4 cm and/or cervical effacement>80% | Post labor- up to 24 hours | No |
Secondary | Delivery within 24 hours | Delivery within 24 hours from foley catheter /first PGE2 tablet palcement | post-labor - up to 24 hours | No |
Secondary | Cesarean section rate | Delivery via cesarean section | post labor - up to 24 hours | No |
Secondary | Maternal complications | Documented complications during labor, including: excessive hemmorhage, infection (chorioamnionitis) | participants will be followed for labor course and the duration of hospital stay, an expected average of 5 days | Yes |
Secondary | Neonatal complications | Documented complications such as non-reassuring fetal heart rate, fetal pH, NICU admission, early neonatal sepsis | Neonates of participants will be followed for labor course and the duration of hospital stay, up to 1 month | Yes |
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