Labor induction is the stimulation of uterine contractions during pregnancy, before labor begins on its own to achieve a vaginal birth. A health care provider might recommend labor induction for various reasons: primarily when there's concern for a mother's health or a baby's health. Combined with oxytocin infusion, amniotomy is commonly used in the induction of labor. However the perfect timing of amniotomy is still unknown. The aim of this study is to determine whether the early amniotomy followed by oxytocin, or initiating induction of labor with oxytocin followed by late amniotomy, is effective to reach active phase of labor.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
artificial rupture of the amniotic sac
University hospital Mongi Slim la Marsa
Tunis, La Marsa, Tunisia
Time to active phase of labor
Total time from initiation oxytocin infusion to reaching 5 cm cervical dilation
Time frame: At delivery
Cesarean delivery rate
Rate of cesarean section
Time frame: At delivery
Time to vaginal delivery
Total time from initiation of labor induction to vaginal delivery
Time frame: At delivery
Maternal outcomes
Intrapartum and postpartum fever, postpartum haemorrhage, chorioamnionitis, endometritis
Time frame: From inclusion to discharge, up to 2 weeks
Fetal and neonatal outcome
Fetal distress, birth asphyxia, acidosis, sepsis
Time frame: From inclusion to discharge, up to 2 weeks
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