Incidence of meconium stained liquor and foetal outcome in induction of labour with misoprostol vaginally
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 2
Abstract
Background: Induction of labour is done to have safe timely delivery so that there is minimal risk to mother and the baby. Among various agents available for induction, Misoprostol is a safe and very effective agent with short induction delivery interval and successfully induce vaginal delivery within 24 hrs. Low dose of misoprostol is associated with minimal uterine stimulation with good fetal outcome despite increases incidence of meconium stained liquor. Aim: To evaluate the incidence of meconium stained liquor and fetal outcome in labour induced with Misoprostol vaginally. Materials and Methods: This is a prospective study included 150 pregnant women with 37 completed weeks who were induced with misoprostol. Study population was divide into two groups based on Bishop’s score as unfavourable cervix and favourable cervix groups. Induction interval, mode of delivery, number of misoprostol doses, incidence of MSL, NICU admissions and APGAR scores were the different outcomes compared between the two groups. Results: Among the outcomes compare between unfavourable and favourable cervix groups induction delivery interval, number of misoprostol doses required for induction and incidence of MSL were more in the unfavourable cervix group and p values were statistically significant. Long induction delivery interval and higher number of misoprostol doses were associated with higher incidence of MSl. In terms of parity incidence of MSL was higher in primi with infavourable cervix while incidence of MSL was not significant between primi and multi in favourable cervix group. Among high risk population, incidence of MSL was higher in unfavourable group though distribution of risk population was similar in both groups. there was no significant difference in other foetal outcomes between the two groups. Conclusion: Misoprostol is an effective priming and labour inducing agent which fulfils all the criteria of an inducing agent. Though incidence of MSL is higher in misoprostol induced labour among women with unfavourable cervix, the fetal outcomes seems to be very good.
Authors and Affiliations
B ArunaKumari, Nagamani .
Keywords
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- EP ID EP470457
- DOI 10.26611/1012821
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