Trial Outcomes & Findings for Effect of Dexamethasone on Labor Induction (NCT NCT05070468)

NCT ID: NCT05070468

Last Updated: 2024-12-12

Results Overview

The total Bishop score is calculated by assessing the following five components of manual vaginal examination by a trained professional: Cervical dilation, Cervical effacement, Cervical consistency, Cervical position, and Fetal station. Dilation (score): closed(0), 1-2 cm (1), 3-4cm (2), 5\>= (3) Effacement (score): 0-30% (0), 40-50% (1), 60-70% (2), 80%\>= (3) Consistency (score): Firm (0), moderately firm (1), soft (2) Position (score): posterior (0), mid posterior (1), anterior(2) Station (score): -3 (0), -2 (1), -1 and 0 (2), +1 and +2 (3) The total Bishop's score which sums up all subscores can range from zero to 13, with zero meaning that the patient is not ready for induction and 13 indicating a better chance for successful induction for delivery (outcome).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

84 participants

Primary outcome timeframe

at the beginning of the study

Results posted on

2024-12-12

Participant Flow

Participant milestones

Participant milestones
Measure
Dexamethasone
Prescribing Vaginally Dexamethasone tablets to the Group A Dexamethasone 0.5mg: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Placebo
Prescribing Vaginally placebo tablets to the Group B Placebo: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Overall Study
STARTED
42
42
Overall Study
COMPLETED
41
42
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=42 Participants
Prescribing Vaginally Dexamethasone tablets to the Group A Dexamethasone 0.5mg: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Group B
n=42 Participants
Prescribing Vaginally placebo tablets to the Group B Placebo: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Total
n=84 Participants
Total of all reporting groups
Age, Continuous
25 years
n=42 Participants
23 years
n=42 Participants
24 years
n=84 Participants
Sex: Female, Male
Female
42 Participants
n=42 Participants
42 Participants
n=42 Participants
84 Participants
n=84 Participants
Sex: Female, Male
Male
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=84 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Education
Illiterate
4 Participants
n=42 Participants
6 Participants
n=42 Participants
10 Participants
n=84 Participants
Education
Primary school
2 Participants
n=42 Participants
5 Participants
n=42 Participants
7 Participants
n=84 Participants
Education
Junior school
14 Participants
n=42 Participants
7 Participants
n=42 Participants
21 Participants
n=84 Participants
Education
High school
16 Participants
n=42 Participants
19 Participants
n=42 Participants
35 Participants
n=84 Participants
Education
Associate's degree
2 Participants
n=42 Participants
2 Participants
n=42 Participants
4 Participants
n=84 Participants
Education
Bachelor's degree or higher
4 Participants
n=42 Participants
3 Participants
n=42 Participants
7 Participants
n=84 Participants
Job
Unemployed
37 Participants
n=42 Participants
40 Participants
n=42 Participants
77 Participants
n=84 Participants
Job
employed
5 Participants
n=42 Participants
2 Participants
n=42 Participants
7 Participants
n=84 Participants
Gravidity and parity
G1ab1
42 Participants
n=42 Participants
40 Participants
n=42 Participants
82 Participants
n=84 Participants
Gravidity and parity
G1ab2
0 Participants
n=42 Participants
1 Participants
n=42 Participants
1 Participants
n=84 Participants
Gravidity and parity
G1ab3
0 Participants
n=42 Participants
1 Participants
n=42 Participants
1 Participants
n=84 Participants

PRIMARY outcome

Timeframe: at the beginning of the study

The total Bishop score is calculated by assessing the following five components of manual vaginal examination by a trained professional: Cervical dilation, Cervical effacement, Cervical consistency, Cervical position, and Fetal station. Dilation (score): closed(0), 1-2 cm (1), 3-4cm (2), 5\>= (3) Effacement (score): 0-30% (0), 40-50% (1), 60-70% (2), 80%\>= (3) Consistency (score): Firm (0), moderately firm (1), soft (2) Position (score): posterior (0), mid posterior (1), anterior(2) Station (score): -3 (0), -2 (1), -1 and 0 (2), +1 and +2 (3) The total Bishop's score which sums up all subscores can range from zero to 13, with zero meaning that the patient is not ready for induction and 13 indicating a better chance for successful induction for delivery (outcome).

Outcome measures

Outcome measures
Measure
Dexamethasone
n=41 Participants
Prescribing Vaginally Dexamethasone tablets to the Group A Dexamethasone 0.5mg: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Placebo
n=42 Participants
Prescribing Vaginally placebo tablets to the Group B Placebo: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
First Bishop Score
1 score on a scale
Interval 1.0 to 2.0
1 score on a scale
Interval 1.0 to 2.0

PRIMARY outcome

Timeframe: 6 hours after vaginally tablets installment

The total Bishop score is calculated by assessing the following five components of manual vaginal examination by a trained professional: Cervical dilation, Cervical effacement, Cervical consistency, Cervical position, and Fetal station. Dilation (score): closed(0), 1-2 cm (1), 3-4cm (2), 5\>= (3) Effacement (score): 0-30% (0), 40-50% (1), 60-70% (2), 80%\>= (3) Consistency (score): Firm (0), moderately firm (1), soft (2) Position (score): posterior (0), mid posterior (1), anterior(2) Station (score): -3 (0), -2 (1), -1 and 0 (2), +1 and +2 (3) The total Bishop's score which sums up all subscores can range from zero to 13, with zero meaning that the patient is not ready for induction and 13 indicating a better chance for successful induction for delivery (outcome).

Outcome measures

Outcome measures
Measure
Dexamethasone
n=41 Participants
Prescribing Vaginally Dexamethasone tablets to the Group A Dexamethasone 0.5mg: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Placebo
n=42 Participants
Prescribing Vaginally placebo tablets to the Group B Placebo: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Second Bishop Score
3.5 score on a scale
Interval 2.0 to 4.0
3 score on a scale
Interval 2.0 to 4.0

PRIMARY outcome

Timeframe: from the beginning of the study to the time of 6 cm dilation of cervix

measured by Vaginal Examination

Outcome measures

Outcome measures
Measure
Dexamethasone
n=41 Participants
Prescribing Vaginally Dexamethasone tablets to the Group A Dexamethasone 0.5mg: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
Placebo
n=42 Participants
Prescribing Vaginally placebo tablets to the Group B Placebo: Pregnant women with a gestational age of 38 weeks and older admitted to Labor Of Kamali Hospital, for termination of pregnancy, by accident and based on the coding done by a statistician to identify groups of users of pill A or pill B, 14 pills are used vaginally . The client and the researcher are blinded and the pharmacist delivers the dexamethasone and placebo tablets with codes A and B to the researcher.
The Latent Phase of Labor
4 hour
Interval 0.0 to 9.0
5 hour
Interval 0.0 to 8.0

Adverse Events

Group A

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group B

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Masoumeh Farahani

Alborz University of Medical Sciences

Phone: 09123783823

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place