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Mechanical methods used for induction of labor received a great attention nowadays due to the serious side effects of the pharmacological methods. Hygroscopic dilators are considered important subtype of these mechanical methods. One of them is Laminaria which is a synthetic type of sea algae that induces cervical dilation by absorbing water from the cervix and gradually increasing in thickness. The current study will compare the effectiveness and safety of laminiria and vaginal prostaglandins in induction of labor in women with unfavorable cervix.
A new method for induction of labor to be studied
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laminaria tents group | Active Comparator | Laminaria tent used to be inserted in cervix and left for 6-12 hours |
|
| vaginal prostaglandin group | Placebo Comparator | Misoprostol 25 mcg inserted for one or multiple doses |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laminaria | Device | mechanical method for induction of labor |
|
| Measure | Description | Time Frame |
|---|---|---|
| o Bishop Score and cervical dilatation | Tool to assess cervical status | 2 YEARS |
| Measure | Description | Time Frame |
|---|---|---|
| o Induction time to active phase of labor. | Time between start and 5cm dilatation | 2 YEARS |
| o Induction time to delivery time. | Time between start to delivery |
| Measure | Description | Time Frame |
|---|---|---|
| o Cesarean frequency rate | Number of needed cs | 2 YEARS |
| o Intrapartum complications | Any complicated case | 2 YEARS |
Inclusion Criteria:
Pregnant women with:
Exclusion Criteria:
o Presence of fetal distress.
pregnant women
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| Name | Affiliation | Role |
|---|---|---|
| Maya AbdelRazek, MD | Lecturer of obstetrics and gynecology - Ain Shams University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University Faculty Of Medicine | Cairo | Egypt |
It will be available once approved
Within one month from now
Open access
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| Vaginal prostaglandin | Drug | Vaginal prostaglandin for ripening |
|
|
| 2 YEARS |