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| Name | Class |
|---|---|
| Asfendiyarov Kazakh National Medical University | OTHER |
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Comparison of efficacy and safety of low-dose oral Misoprostol versus folley catheter for preinduction in women with an immature cervix at term.
Open-label randomised trial in 2 hospitals in the Almaty,Kazakhstan. Women with a term singleton pregnancy in cephalic presentation, an unfavourable cervix, intact membranes, and without a previous caesarean section will be randomly allocated to 2 groups: 1 group -cervical ripening with 25 μg oral misoprostol once every 2 hour, 2 nd group- a 30 mL transcervical Foley catheter. The primary outcome will be vaginal delivery within 24 hours(to evaluate effectiveness) and secondary outcoms 1-5-min Apgar score and hospitalization in ICU, hyperstimulation frequency and hemorrage (for evaluating safety)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | Drug: Misoprostol 25mcg (200 mcg dissolved with 200 ml water and divided to 8 doses) every 2 hours |
|
| Group B | Active Comparator | Device: Foley Catheter Transcervical Foley catheter (silicone, size 20F with 30ml balloon) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Misoprostol 200mcg Tab | Drug | Misoprostol 200 mcg dissolvedwith 200 ml water and divided to 25ml solution every 2 hours per os for maximum of 8 doses |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficiency of induction | Number of Participants with vaginal births within 24 hours. | 24 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety for baby | Rate of cases Apgar score <7 points | 5 min |
| Safety for mother | incidence of hyperstimulation | during the labour induction |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City Perinatology Centre 3 | Almaty | 050062 | Kazakhstan | |||
| Center for Perinatology and Pediatric Cardiac Surgery |
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| ID | Term |
|---|---|
| D016595 | Misoprostol |
| ID | Term |
|---|---|
| D011459 | Prostaglandins E, Synthetic |
| D011465 | Prostaglandins, Synthetic |
| D011453 | Prostaglandins |
| D015777 | Eicosanoids |
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multicentre randomised controlled trial
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| Foley Catheter | Device | Transcervical Foley catheter (silicone, size 20F with 30ml balloon) |
|
| Almaty |
| A15H0K1 |
| Kazakhstan |
| D005231 |
| Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |