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The purpose of the trial is to compare nipple stimulation with a breast pump to pitocin for induction of labor in term pregnancies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oxytocin induction | Active Comparator | women in need for induction of labor due to medical indications, will receive continuous IV oxytocin |
|
| Breast Stimultion | Active Comparator | nipple stimulation with a breast pump, calibrated at the lowest suction strength,operated alternately: 15 min one breast, 15 min second breast, 15 min rest, till appearance of regular uterine contractions (3 contractions in 10 min). the manipulation will continue for 3 hours of regular contractions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oxytocin | Drug | For low risk group (women at deliveries 1-5): IV oxytocin 10IU/1000ml standard sol. starting at 2MU/MIN and augmenting 2MU every 20 min. For high risk group (grandmultiparas [6th delivery and up] or women with a previous cesarean section) IV oxytocin 5IU/1000ml standard sol. starting at 1MU/MIN augmenting 1MU every 20 MIN - in accordance with the department's protocol |
| Measure | Description | Time Frame |
|---|---|---|
| time from induction to delivery | 24h |
| Measure | Description | Time Frame |
|---|---|---|
| fetal distress (monitor assessment, cord ph) | 24 h | |
| cesarean section rate | 24h |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yael Sciaky-Tamir, MD | Contact | +972-2-5844111 | yaels@hadassah.org.il | |
| Drorith Hochner-Celnikier, MD | Contact | +972-2-8544410 | Hochner@hadassah.org.il |
| Name | Affiliation | Role |
|---|---|---|
| Drorith Hochner-Celnikeir, MD | Hadasah Medical Organization | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hadassah University Hospital Mt. Scopus | Jerusalem | Israel |
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| ID | Term |
|---|---|
| D010121 | Oxytocin |
| ID | Term |
|---|---|
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
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|
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| breast pump nipple stimulation | Procedure | breast pump calibrated at lowest suction strength, operated alternately: 15 min one breast, 15 min second breast, 15 min rest |
|
| D006730 |
| Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |