Phase 2
Completed N=243
Is More Than One Dose of Misoprostol Needed to Expedite Vaginal Delivery in a Patient With an Unripe Cervix?
Labor; Forced or Induced, Affecting Fetus or Newborn
Source: ClinicalTrials.gov NCT02680314 ↗
Enrolled (actual)
243
Serious AEs
0.0%
Results posted
Jul 2021
Primary outcomePrimary: Number of Participants With Vaginal Delivery Within 24 Hours — 50; 55 Participants
Summary
The goal of this study is to determine whether inducing labor with just one dose of misoprostol, followed by treatment with oxytocin, will still be effective enough to increase the chances of having a successful vaginal delivery as compared to using more than one dose of misoprostol, followed by treatment with oxytocin.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Vaginal Delivery Within 24 Hours |
50; 55 | — |
| SECONDARY To Determine the Interval From Initiation of Misoprostol to Delivery in Each Group |
1187; 1321 | 0.202 |
Eligibility Criteria
Inclusion Criteria
- Any pregnant woman undergoing induction of labor
- Live singleton pregnancy ≥ 37 week gestation
- Bishop score < 6
- Category I fetal heart rate
Exclusion Criteria
- Contraindications to vaginal delivery (e.g. vasa previa, placenta prevue,non-vertex presentation, umbilical cord prolapse, and active genital herpes infection.)
- Pregnancies complicated by major fetal anomalies
- Any contraindication to the use of misoprostol, including
- History of previous c-section or major uterine surgery
- Prior allergic reaction
- Category II or III fetal heart rate
- Regular uterine contractions ≥ 3 in a 10-minute period persistent for at least 30 minutes
- Estimated fetal weight < 10 percentile
- Premature rupture of membranes
- Age < 18 years old
- Women who do not have the capacity to consent
Data sourced from ClinicalTrials.gov (NCT02680314). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.