Effect of Dexamethasone on Labour Induction in Term Pregnancies

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexFemale
Age18+
SponsorCairo University

About this trial

The aim of the study is to assess the effect of dexamethasone on labour induction in term pregnancies.

Primary outcome:

The interval between initiation of induction and beginning of the active phase of labour.

Secondary outcomes:

* Duration of active phase of labour (starting with cervical dilatation of 4-5 cm up to full cervical dilatation). * Duration of second stage of labour * Mode of delivery. * Fetal outcome.

Group A:

Will receive one dose of IM dexamethasone sodium phosphate 8 mg (2 mL).

Group B:

Will receive vaginal misoprostol 25 μg tablets every 6 h, up to 4 tablets, for a maximum duration of 24 h.

Group C:

Will receive one dose of IM dexamethasone sodium phosphate 8mg (2mL) with the first dose of vaginal misoprostol 25 μg tablets that will be given every 6 h, up to 4 tablets, for a maximum duration of 24 h.

Eligibility criteria

Qualifiers

Age > 18 years.

Nulliparous.

Vertex presentation.

Singleton pregnancy.

Disqualifiers

Indication for cesarean section e. g. Placenta previa, intrauterine growth retardation, non-vertex presentation and previous cesarean section.

Maternal medical disorders as diabetes mellitus and severe pre-eclampsia.

Preterm labour and preterm rupture of membranes.

Gestational age <39 weeks of gestation.

Trial design

Treatments tested in this trial

  • Dexamethasone (Decadron) 8mg IM injection
  • Misoprostol 25 mcg
  • Both Misoprostol 25 mcg & Dexamethasone 8mg IM injection

Treatment groups

150 Participants
are divided into 3 treatment groups

Sponsors and collaborators