Comparison of 60mg and 40mg doses of hyoscine butylbromide on labor outcomes at Moi teaching and referral hospital, Eldoret, Kenya

Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4

Abstract

Introduction Effects of 40mg of Hyoscine butylbromide HBB in reducing duration of active phase of labor are well documented However effects of 60mg have not been well studied despite the fact that it is often usedObjectives To compare the effect of 60mg and 40mg of HBB on the duration of laborMaterials and Methods A singleblind randomized controlled clinical trial was carried out at Moi Teaching and Referral Hospital from January to April 2014 At the onset of active phase of labor 45 cm they were randomized into two arms Those in the control arm received 40mg of HBB intravenously while those in the study arm received 60mg Information on progress of labor mode of delivery amount of blood loss and neonatal APGAR scores was recordedResults A total of 114 primigravid women were recruited into the study and randomized into the control arm n59 and study arm n55 The 40mg and 60mg arms were comparable for sociodemographic and obstetric characteristics Injection to delivery time was 340 223483 minutes in the 40mg arm and 305 253475 minutes in the 60mg arm a difference that is not statistically significant p0905 Seven 12 and five 9 of patients in the 40mg and 60mg arm respectively needed delivery via caesarean section p0602 5 minute APGAR scores were 97 in the 40mg arm and 98 in the 60mg arm p0727 Estimated blood loss was 300mls in the 60mg arm and 350mls in the 40mg arm p0152Conclusion Head to head 60mg of parenteral HBB is not superior to 40mg on their effects on duration of labor and fetomaternal outcomesKeywords Hyoscine Butylbromide Buscopan Labor

Authors and Affiliations

Anthony Wanjala, David Kaihura, Benjamin Chemwolo, Kays Muruka

Keywords

Related Articles

A Comparative Study of Modified Shirodkar�s Cerclage and Mcdonald�s Cerclage in Cervical incompetence

Background and Objectives: The term ‘cervical incompetence’ is used to describe a disorder in which painless cervical dilatation led to recurrent second trimester pregnancy losses .Structural weakness of cervical tissue...

Abnormal uterine bleeding in peri-menopausal age: An observational study

Introduction Abnormal Uterine Bleeding AUB is a term which refers to menstrual bleeding of abnormal frequency duration or quantity It is a common gynecological complaint accounting one third of outpatient visits to gynec...

Application of PALM-COEIN FIGO classification in diagnosis of abnormal uterine bleeding (AUB) patients

Objective The aim is to categorize women with AUB as per the PALMCOEIN classification system as this is a step towards cause based diagnosis and focused management of patients The acronym PALMCOEIN comes from arranging 9...

Maternal and neonatal outcome in pre-eclamptic mothers with elevated liver enzymes: A prospective analytical study

Introduction Hypertensive disorders during pregnancy may cause damage to liver which may manifest biochemically as a deranged liver function test and subsequent maternal morbidity and mortality any elevation in liver enz...

Usefulness of PAPP-A in predicting adverse pregnancy outcome

Objective: The First trimester Pregnancy-associated plasma protein-A (PAPP-A) is one of the marker for the screening. The purpose of this study was to evaluate whether low levels of first trimester PAPP-A alone is predic...

Download PDF file
  • EP ID EP475984
  • DOI 10.18231/2394-2754.2018.0103
  • Views 58
  • Downloads 0

How To Cite

Anthony Wanjala, David Kaihura, Benjamin Chemwolo, Kays Muruka (2018). Comparison of 60mg and 40mg doses of hyoscine butylbromide on labor outcomes at Moi teaching and referral hospital, Eldoret, Kenya. Indian Journal of Obstetrics and Gynecology Research, 5(4), 447-453. https://europub.co.uk/articles/-A-475984