A Comparative Study on Use of Intracervical Dinoprostone Gel and Intravaginal Misoprostol for Cervical Ripening and Induction of Labour
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 2
Abstract
Generally labour induction is indicated when the benefits of delivery to the mother or fetus outweigh the potential risk of continuing the pregnancy. Labour is commonly induced is response to a number of fetal and maternal situations, including post term pregnancy, premature rupture of membranes without the onset of spontaneous contraction within the next 24 hours. Induction of labour has become a common intervention with induction rate ranging from 16% to 44%. The aim of our study is to compare the dinoprostone gel and misoprostol 25g tab in ripening and induction of labour. The improvement of Bishop’s score was more in misoprostol THAN dinoprostone gel. The rate of vaginal delivery is 78% in dinoprostone gel and 84% in misoprostol group respectively. Three patients in dinoprostone gel groups had Forceps delivery (6%). The rate of caesarean section in group A was 20% & Group B was 16%. The interval from recruitment to ripening of cervix was shorter in misoprostol group than dinoprostone gel [Misoprostol (4.98 ± 1.86), dinorpsotone gel (8.06 ± 2.93), p < 0.001]. The time from ripening to active labour was almost equal between these two groups. The interval from active phase of labour to full dilation in group A (4.85 ± 1.13) group B (4.11 ± 1.32).
Authors and Affiliations
Dr. Rathindra Nath Ray
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