A randomized comparison of intravaginal misoprostol for labor induction versus expectant managements in prolonged pregnancy

العناوين الأخرى

دراسة مقارنة بين الميزوبروستول عن طريق المهبل لتوسيع عنق الرحم و بدء الولادة و بين المتابعة التحفظية للحوامل بعد الأسبوع الواحد و الأربعون من الحمل

المؤلفون المشاركون

al-Saqqal, Ghadah Sad Allah
Sharif, Hajir Muhammad

المصدر

Duhok Medical Journal

الناشر

جامعة دهوك كلية الطب

تاريخ النشر

2012-12-31

دولة النشر

العراق

عدد الصفحات

9

التخصصات الرئيسية

الطب البشري

الملخص الإنجليزي

Background: Induction of labor for prolonged pregnancy is one of the commonest interventions in obstetrics.It is applied to 25% of pregnant women.

Objective: To compare elective induction of labor by intra vaginal misoprostol with expectant management (serial antenatal monitoring) in women at 41weeks and more.

Subjects and methods: This study involved 120 pregnant women with uncomplicated pregnancies, at gestational age of 41 weeks and more.

The women were randomly assigned to undergo induction of labor by the intra-vaginal application of (50 microgram) misoprostol or to have serial antenatal monitoring, and waiting for spontaneous labor unless there was evidence of fetal or maternal compromise.

The outcomes parameters were, maternal complication, mode of delivery, number of emergency cesarean sections performed for abnormal fetal heart rate, rate of neonatal morbidity and maternal satisfaction.

Results: The two groups were comparable in their maternal age, gestational age in weeks and number of pregnancies.

There were lower rates in cesarean section 16.66 %versus53.44% , meconium stained liquor19.99%versus50% , APGAR Score < 7 in 5 minutes , neonatal intensive care unit admission 3.33%versus16%and rate of emergency cesarean section performed for fetal heart rate abnormalities 3.3%versus38.33% in induced versus the conservative group with higher rate of maternal satisfaction in induced group.

Conclusions: Induction of labor with misoprostol in post term pregnancy decreases maternal and neonatal morbidity compared to expectant management

نوع البيانات

أوراق مؤتمرات

رقم السجل

BIM-831997

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