CompletedNot Applicable

Engagement of Fetal Head as a Predictor of a Successful Vaginal Delivery in Primigravidas Presented in Early Labor.

Egypt226 participantsStarted 2020-11-03

Plain-language summary

In primigravida, Delayed engagement of fetal head has been theorized that it is more likely in women with a possible cephalo-pelvic disproportion, so far they are associated with higher risk of cervical dystocia, which led to increased rate of caesarean section.

Who can participate

SexFEMALE

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Term pregnancy (37-42) weeks. * Expected foetal birth weight of 2.5-4.0 kg on USG at term. * Singleton live pregnancy. * Cephalic presentation. * Cervical dilatation of =/\< 4cms. * Reactive CTG at onset of labour. * Confirmation of ROM by Direct visualization or Fern test. Exclusion Criteria: * Contracted pelvis. * Previous uterine surgery " upper segment ". * Pregnancy complications like antepartum haemorrhage, pregnancy induced hypertension, gestational diabetes mellitus, IUGR. * Fetal congenital anomalies. * Abnormal or non reassuring fetal CTG at term or at onset of labour.

What they're measuring

Incidence of cesarean section in primigravidas with unengaged fetal head in compare to primigavidas with engaged fetal head .

Timeframe: 24 hours

Trial details

NCT IDNCT05084326

Sponsormohamed abosena

Sponsor typeOTHER

Study typeOBSERVATIONAL

Primary completion2021-10-03

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