Reducing the time patients spend in the labor and delivery room saves money and reduces patient discomfort as well and reducing complications. We will compare two methods for inducing cervical maturation in order to shorten the time taken between administration of drugs and delivery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
120
Three laminaria placed 12 hours prior to administration of misoprostol
standart support
CHU de Montpellier
Montpellier, France
CHU Nimes
Nîmes, France
time taken between administration of 1st dose of drugs and delivery between the two strategies
Time frame: Up to 2 days
Compare pain experienced by patients between groups
scale 0-10
Time frame: Day 0 - Day 2
Compare cervix length before administration of Misoprostol OR oxytocine between groups
in mm
Time frame: Day 0
Compare degree of dilation before administration of Misoprostol OR oxytocine between groups
in cm
Time frame: Day 0
Compare time taken between Misoprostol OR oxytocine and delivery between groups
hours
Time frame: Day 0 - Day 2
Rate of delivery between groups
Time frame: 4 hours
Rate of delivery between groups
Time frame: 6 hours
Rate of delivery between groups
Time frame: 8 hours
Rate of delivery between groups
Time frame: 12 hours
Rate of delivery between groups
Time frame: >12 hours
Incidence of endometritis between groups
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Time frame: Day 0 - Day 2
Incidence of hemorrhage between groups
Time frame: Day 0 - Day 2
Patient satisfaction in peripartum between groups
Numeric Rating Scale (0-10)
Time frame: Day 2
Patient anxiety between groups
Hospital Anxiety and Depression Scale questionnaire
Time frame: Day 0 - 3 months
Evaluation of any post-traumatic stress between groups
Perinatal post-traumatic stress disorder questionnaire
Time frame: 3 months