The effect of vaginal suppository of Fenugreek on cervical ripening and onset of labor in nulliparous women

Determination of the effect of vaginal suppository of fenugreek on cervical ripening and onset of labor in nulliparous women

A clinical trial with a control group, without blinding, randomized and with parallel groups design of 60 mothers with 40 weeks of gestation are allocated into two intervention and control groups using simple randomization online, by the sequence created at www.graphpad.com/quickcalcs;

Samples will be selected from the mothers who refer to the midwifery clinic of Umm Al-Banin Hospital in Mashhad. Vaginal examination will be performed by the researcher to determine the Bishop's score.The intervention group will use 0ne 7% vaginal suppository of fenugreek for 3 nights before sleep. Both groups will be advised to go to the clinic 72 hours after the start of the study if they do not have labor pains, to control and determine the Bishop's score. If there isn,t any problem, they will use the vaginal suppository for 3 more nights. If labor pains do not begin at the beginning of week 41, they will be admitted to the maternity ward to terminate the pregnancy.

Inclusion criteria: primiparous women, Gestational age 40 weeks, 18 to 35 years, Singleton pregnancy, Cephalic presentation, Body mass index 18.5 to 30, Intact fetal membranes, Reactive non-stress test Exclusion criteria: Sensitivity to fenugreek, Medical and obstetric problems

The intervention group will use vaginal suppository of fenugreek daily from the 40 week of gestation for 7 days or until delivery before sleeping. In the control group, routine care is performed.

Cervical ripening ;Initiation of labor

Sampling is performed at the obstetric clinic of Omolbanin hospital in Convenience Sampling method based on inclusion and exclusion criteria. Research units are allocated into two intervention and control groups using simple randomization online, by the sequence created at www.graphpad.com/quickcalcs;