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This is a prospective randomized trial comparing two prostaglandin E2 (dinoprostone) agents used for labor induction in pregnant women with term pregnancies and unfavorable cervix.
This prospective randomized trial includes pregnant women with term pregnancies, indication for labor induction and an unfavorable cervix. These women are randomized into two groups: one group is induced using an intracervical prostaglandin E2 (PGE2, dinoprostone) formulation, the other using an intravaginal PGE2 formulation. Main outcome is time period between beginning of labor induction to delivery, and a reduction of four hours is considered clinically significant.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GROUP A | Active Comparator | 106 randomly selected pregnant women |
|
| GROUP B | Active Comparator | 106 randomly selected pregnant women |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dinoprostone 0.5 MG | Drug | 0.5mg dinoprostone applied intracervically |
|
| Measure | Description | Time Frame |
|---|---|---|
| time period between beginning of labor induction to delivery | hours (difference of 4 hours or more is considered significant) | 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| number of births within 24h of start of labor induction | N (%) | 7 days |
| number of deliveries by caesarean section or instrumental deliveries | N (%) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Katja Vince, MD | Clinical Hospital Merkur | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Hospital Merkur | Zagreb | 1000 | Croatia |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 28, 2021 | |
| Reset | Aug 20, 2021 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 28, 2021 | Aug 20, 2021 |
| ID | Term |
|---|---|
| D015232 | Dinoprostone |
| C501608 | KLK15 protein, human |
| ID | Term |
|---|---|
| D011458 | Prostaglandins E |
| D011453 | Prostaglandins |
| D015777 | Eicosanoids |
| D005231 | Fatty Acids, Unsaturated |
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212 pregnant women are randomly assigned into 2 groups for application of one of two dinoprostone agents used for labor induction (intravaginal or intracervical dinoprostone)
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two dinoprostone agents are randomly applied and compared - one in patient's cervix and the other in vagina without the patient knowing which agent is applied
| Dinoprostone 2 MG/2.5 ML Vaginal Gel/Jelly | Drug | 2mg dinoprostone applied intravaginally |
|
|
| 7 days |
| number of uterus hyperstimulation | N (%) | 7 days |
| D005227 |
| Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |