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The purpose of the study is to determine whether castor oil is effective in inducing labor.
Castor oil is traditionally given by midwives in order to induce labor. Its efficacy as an initiator of labor was previously tested only in one clinical trial. Unfortunately this study (by Garry et al.) was not sufficiently controlled.
We intent to recruit 84 healthy pregnant women with no contraindication to vaginal delivery that had past their due date. Women will be randomly and blindly divided into equal sized intervention group and control group. Intervention group will be given 60 mL of castor oil in 140 mL of orange juice, while control group will be given a placebo with similar texture. Primary outcome to be tested is the percentage of women entering active labor within 24 hours of administration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Active Comparator | Patients who received castor oil for labor induction |
|
| Control | Placebo Comparator | Patients who received sunflower oil as a placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Castor oil | Dietary Supplement | Patients who received castor oil for labor induction |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Delivery within 24 hours of administering castor oil/placebo | Actual time of delivery | two weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Neonatal apgar scores | Neonatal APGAR scores | 1 minute and 5 minute after delivery |
| Umbilical artery pH and Base Excess | Umbilical artery gases |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shay Porat, MD | Hadassah Medical Organization | Principal Investigator |
| Drorit Hochner-Celnikier, MD | Hadassah Medical Organization | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hadassah Medical Organization | Jerusalem | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 10631825 | Background | Garry D, Figueroa R, Guillaume J, Cucco V. Use of castor oil in pregnancies at term. Altern Ther Health Med. 2000 Jan;6(1):77-9. |
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| ID | Term |
|---|---|
| D011273 | Pregnancy, Prolonged |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D002368 | Castor Oil |
| D000074242 | Sunflower Oil |
| ID | Term |
|---|---|
| D005224 | Fats, Unsaturated |
| D005223 | Fats |
| D008055 | Lipids |
| D010938 | Plant Oils |
| D009821 |
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| Sunflower oil |
| Dietary Supplement |
Patients who received sunflower oil as a placebo |
|
| Immediately at birth |
| Neonatal complications including hospitalization in NICU | Were there any admissions to NICU, what was the reason ? | immediately after birth |
| Mode of delivery (ie. Normal delivery Vs. Cesarean delivery) | Mode of delivery | Within two weeks of enrollment |
| Oils |
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |