Posted in Volume 15 - Number 2
NASREEN MAJID, FARZANA NASIR, TASNEEM AKHTAR, HASAN FATIMA
ABSTRACT | Full Text PDF
OBJECTIVES: To assess the ability of misoprostol vaginal insert for inducing labour using a dose reservoir of 50 mcg.
DESIGN: Descriptive cross sectional study.
SETTING: Sir Syed Trust Hospital – a private teaching hospital.
SUBJECTS AND METHODS: 100 eligible women with unfavorable Bishop score were selected for induction of labour (10L). They were given 50 mcg of misoprostol every 6 hours up to a total of 3 doses.
MAIN OUTCOME MEASURE: Vaginal delivery within 24 hours of induction of labour.
RESULTS: 66% of women received a single dose while 28% and 6% received second and third dose respectively. The main induction to vaginal delivery interval was 8 hours 35 minutes. After misoprostol, 96% patients went into labour and 42% did not require oxytocin augmentation. 12% had operative delivery. Neonatal outcome was acceptable as there were no perinatal deaths or birth trauma.
CONCLUSION: Misoprostol vaginal insert effectively induced labour in parous women at term.
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