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CompletedNCT04037683qMOLIUpdated Feb 11, 2022

qMOLI- A Qualitative Assessment of Misoprostol or Oxytocin for Labour Induction

An observational study in Pre-Eclampsia, sponsored by University of Liverpool. Completed at 1 site in India. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-02-11.

Sponsored by University of Liverpool · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
136
Ages
16 Years and older
Sex
All
01

Study summary

Q MOLI is an alongside qualitative study, for the 'Misoprostol or Oxytocin for Labour Induction' (MOLI) pragmatic, open-label, randomised controlled trial, comparing a misoprostol/misoprostol regime vs the standard misoprostol/oxytocin induction of labour regime.1000 patients with hypertensive disease in pregnancy will be recruited, over 24 months, in Nagpur, India.

Read the detailed description

Qualitative study involving semi-structured interviews, with participants (pregnant women with hypertension/pre-eclampsia participating in the 'Misoprostol or Oxytocin for Labour Induction' (MOLI) study who consent to enter the qualitative study) in a randomised trial, pre and post induction of labour and focus group discussions with healthcare professionals involved in the study (MOLI study staff; practitioners who are involved in screening, recruiting, randomising and consenting participants to the MOLI study).

The investigators aim to assess the priorities, experiences and acceptability of women being induced for hypertension in pregnancy in India, and clinician's views on the feasibility, usability, acceptability and barriers to implementation of various induction protocols.

  1. Explore patients' perceptions, expectations, priorities, understanding of and concerns around induction of labour, prior to induction.
  2. To explore the experiences, acceptability and satisfaction of patients post induction and any differences between the two RCT groups; misoprostol/misoprostol vs misoprostol/oxytocin regimes.
  3. To better understand the feasibility, usability and acceptability of the different induction regimes to health care professionals. To explore potential barriers for implementing research findings into clinical practice and potential solutions.
  4. To explore patients' and staff perspectives of the fetal monitoring regimens during the induction process.
02

Conditions studied

  • Pre-Eclampsia

Keywords

  • induction of labour
  • intrapartum fetal monitoring
  • qualitative
  • semi-structured interview
  • focus groups
03

In context

Eclampsia

328 studies on the registry are indexed under Eclampsia; 48 are open to participants now.

This study's enrollment of 136 is below the median of 158 across 146 observational studies indexed under Eclampsia.

Browse Eclampsia studies →

Lead sponsor

University of Liverpool is the lead sponsor of 99 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Pregnant or postnatal women with hypertension/pre-eclampsia participating in the 'Misoprostol or Oxytocin for Labour Induction' (MOLI) study who consent to enter the qualitative study.

MOLI study staff. Practitioners who are involved in screening, recruiting, randomising and consenting participants to the MOLI study.

Eligibility criteria

MOLI RCT participants (women being induced)

Inclusion criteria

  • Women who are recruited to the MOLI RCT and are either antenatal, or post-induction and meet all of the eligibility criteria:
  • Women who consent to join the qualitative study

Exclusion criteria

  • Women who are not recruited to the MOLI RCT
  • Women who lack the capacity to make an informed decision
  • Women under the age of 16
  • Women who have had a stillbirth in this pregnancy
  • Women who are distressed/in pain
  • Women too unwell to take part in interviews, or who need urgent intervention (in less than 2 hours)
  • Where delay in starting the IOL process due to time of interview could cause harm to the patient
  • Women who do not give consent to be in the study

MOLI practitioners

Inclusion criteria

  • Practitioners who are involved in screening, recruiting, randomising and consenting participants to MOLI RCT

Exclusion criteria

  • Staff who do not wish to be included
  • Staff who do not give their consent to participate
05

Study design

Observational model
Other
Time perspective
Other
Enrollment
136 participants (actual)
Patient registry
No

Groups and cohorts

  • MOLI participants pre IOL

    Semi-structured interviews with MOLI participants - estimated 12 patients (until data saturation) after recruitment to MOLI RCT but prior to the start of the induction of labour (IOL) process

  • MOLI participants post IOL (misoprostol/misoprostol)

    Semi-structured interviews with MOLI participants - estimated 12 patients (until data saturation) 12 women post IOL with misoprostol/misoprostol Semi-structured interviews with MOLI participants - estimated 12 patients (until data saturation) 12 women post IOL with misoprostol/oxytocin

    Drug: Misoprostol Oral Tablet

  • MOLI participants post IOL (misoprostol/oxytocin)

    Semi-structured interviews with MOLI participants - estimated 12 patients (until data saturation) 12 women post IOL with misoprostol/oxytocin

    Drug: Misoprostol Oral Tablet · Drug: Oxytocin

  • Staff focus group pre and during MOLI recruitment

    A focus group in each of the 2 recruitment sites before the start of the MOLI trial (n=2) A focus group in each of the 2 recruitment sites and with each cadre of staff during the MOLI trial (n=8) * Research assistants * Residents * Consultants * Midwives

Interventions

  • DrugMisoprostol Oral Tablet

    Misoprostol 25mcg orally given 2-hourly

  • DrugOxytocin

    Oxytocin infusion

06

What researchers measure

Primary outcomes

  1. Patients' views on induction of labour, prior to induction.

    Explore patients' perceptions of induction of labour, prior to induction.

    Time frame: 6 months

  2. Patients' views on induction of labour, post induction.

    To explore the experiences of patients post induction and any differences between the two RCT groups; misoprostol/misoprostol vs misoprostol/oxytocin regimes.

    Time frame: 6 months

  3. Clinicians' views on various induction protocols.

    To better understand the acceptability of the different induction regimes to health care professionals. To explore potential barriers for implementing research findings into clinical practice and potential solutions.

    Time frame: 6 months

  4. Patients' views on the fetal monitoring regimens during the induction process.

    To explore patients' perspectives of the fetal monitoring regimens during the induction process.

    Time frame: 6 months

  5. Staff's views on the fetal monitoring regimens during the induction process.

    To explore staff perspectives of the fetal monitoring regimens during the induction process.

    Time frame: 6 months

07

Study locations

1 site
  • Government Medical College
    Nagpur, Maharashtra 440003, India
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04037683
Lead sponsor
University of Liverpool
Collaborators
Government Medical College, Nagpur, Gynuity Health Projects
Responsible party
Andrew D Weeks (Professor of International Maternal Health, University of Liverpool) — Principal investigator
First posted
Jul 30, 2019
Start date
Oct 18, 2019
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Last update
Feb 11, 2022

Study contacts

Andrew Weeks, Professor
principal investigator · University of Liverpool
Kate Lightly, Dr
study director · University of Liverpool

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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