Effect of Metoclopramide on the Duration of Labor in Women Giving Birth in Kisangani, Democratic Republic of the Congo

INTERVENTION: Metoclopramide Sodium chloride injection CONDITION: ; Pregnancy and Childbirth Pregnancy and Childbirth PRIMARY OUTCOME: ; Duration of the active phase of labor (minutes) SECONDARY OUTCOME: Apgar score assessed using the standard 0‐to‐10 scale. Need for oxytocin augmentation during labor. Number and proportion of participants experiencing adverse events following administration of the study intervention, including somnolence, headache, agitation, extrapyramidal symptoms, allergic reactions, or other clinically identified adverse events Proportion of participants delivering by spontaneous vaginal delivery, operative vaginal delivery, or cesarean delivery. Proportion of participants undergoing cesarean delivery because of labor dystocia or failure of labor progression INCLUSION CRITERIA: Women fulfilling all of the following: • age =18 years (or according to local ethical approval) • singleton pregnancy • gestational age between 37+0 and 41+6 weeks • cephalic presentation • spontaneous labor • cervical dilatation exactly 5 cm • reassuring fetal heart rate • intact or ruptured membranes without evidence of chorioamnionitis • eligible for vaginal delivery • written informed consent