A comparison of oral misoprostol and extra-amniotic Foley`s catheter with oxytocin for induction of labour at term. | [Journal of Islamic International Medical College • 2012]

Author(s):

1. Asma Shaheen: IIMC-T, Pakistan Railway Hospital, Rawalpindi, Pakistan

2. Raazia Rauf: IIMC-T, Pakistan Railway Hospital, Rawalpindi, Pakistan

3. Attiqa Zaigham: IIMC-T, Pakistan Railway Hospital, Rawalpindi, Pakistan

4. Fareesa Waqar: IIMC-T, Pakistan Railway Hospital, Rawalpindi, Pakistan

Abstract:

Objective: To compare the efficacy and safety of misoprostol with a Foley`s catheter and oxytocin for induction of labor at or beyond term. Study Design: Quasi experimental study. Place and Duration of Study: This study was carried out in the Department of Obstetrics and Gynaecology, Railway Hospital Rawalpindi from January 2008 December 2008. Materials and Methods: Hundred patients requiring induction of labor at or beyond term with bishop less than 5 were randomized by lottery method to receive oral misoprostol or a cervical Foley`s plus oxytocin. Patients in the misoprostol group (Group A) received 50 microgram misoprostol at 6 hourly interval for a maximum of 4 doses or until an adequate contraction pattern developed. Those in the Foley`s group (Group B) had a Foley`s catheter inserted in the cervix. Whereas oxytocin was administered intravenously by a standard incremental infusion protocol to a maximum dose of 36 milliunits/min. Results: The mean induction delivery interval is 9.8 hours in group A while in Group B the mean induction delivery interval was 17 hours. Although all patients delivered in both groups within 24 hours but the mean induction delivery interval was prolonged in Foley`s group as compared to misoprostol group. The neonatal outcome was comparable in both the groups. Conclusion: Oral misoprostol at the dose 50 microgram is better than Foley`s group for induction of labor at term.

Page(s): 8-14

DOI: DOI not available

Published: Journal: Journal of Islamic International Medical College, Volume: 7, Issue: 1, Year: 2012

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