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This study evaluates the need of oxytocin therapy in active phase of labor. there will be two groups treating with oxytocin in latent phase.One group will be treated with low dose oxytocin therapy and the other group will be treated with high dose oxytocin therapy. oxytocin treatment will be ceased at the beginning of the active phase of labor. the need of oxytocin treatment in active phase of labor will be compared between two groups.
Oxytocin treatment in active phase of labour is used with respect to clinicians preference and best approach has not been described. We want to investigate the effect of oxytocin treatment by using different regims in latent phase of labor when oxytocin treatment is ceased in active phase of labour. In our trial we discontinued oxytocin in active phase of labour and investigate which group needs oxytocin therapy due to inadequate uterine contractions and arrest of labor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| low dose group | Active Comparator | oxytocin therapy starting with 2mU/min increased by 2 mU/min every 15 minutes. oxytocin will be stopped at the beginning of the active phase of labor. |
|
| high dose group | Active Comparator | oxytocin therapy starting with 4mU/min increased by 4 mU/min every 15 minutes. oxytocin will be stopped at the beginning of the active phase of labor. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| oxytocin | Drug | one group will be treated with low dose oxytocin and the other group will be treated with high dose oxytocin for augmentation of labor induction. |
|
| Measure | Description | Time Frame |
|---|---|---|
| need for oxytocin retreatment | need for oxytocin retreatment due to inadequate uterine contractions and labor arrest | an average of one year |
| Measure | Description | Time Frame |
|---|---|---|
| length of active phase | duration of acive phase of labor | an average of one year |
| ratio of caesarean section | caesaraen section rate in total delivery |
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Inclusion Criteria:
Exclusion Criteria:
term pregnant women
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| Name | Affiliation | Role |
|---|---|---|
| ahmet eser | Zeynep Kamil Education and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zeynep Kamil Education and Research Hospital | Istanbul | Turkey (Türkiye) |
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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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|
| an average of one year |
| total oxytocin dose | total amount of oxytocin treatment in latent and active phase of labor | an average of one year |
| APGAR scores | neonatal 1 minute and 5-minute-APGAR scores | an average of one year |
| D006730 |
| Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |