Outcome of Induction of Labour by Oral Misoprostol of Intrauterine Fetal Death
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 10
Abstract
Objective: To review our one year experience in induction of labor in cases of intrauterine fetal death (IUFD) using oral misoprostol. Methods: A descriptive study of 170 women with IUFD after 28 weeks who had induction of labor with oral misoprostol at the obstetric unit of our BRIMS Hospital, Bidar. Results: 169 patients were delivered vaginally. Misoprostol dose ranging from 25 to 300 µg was used to achieve labor. Majority (65%) of the patients required a total dose of 100 µg or less to achieve labor. The dose required to achieve labor was found to decrease with increasing gestation; 50 µg at 36 weeks and above and 200 µg at between 28 and 30 weeks. The induction delivery interval (IDI) varied from 4 hours to 36 hours with a mean of 15 hours ± 5 hours. The IDI was also found to be dependent on gestational age. Of the 145 (85.0%) that delivered within 24 hours, 125 (73.53%) were at least 32 weeks. Fifteen (8.8%) women required augmentation. Fifteen (8.8%) patients had post partum haemorrhage because of retained bits of membranes. Three (1.7%) patients had retained placenta. One (0.5%) patient had rupture uterus. Conclusion: The results of this study confirm that misoprostol is an effective induction agent in IUFD, but it should be used with caution and strict monitoring. It should not be given by paramedical staff.
Authors and Affiliations
Uma Deshmukh, Meenal Vardhan
Keywords
Related Articles
- EP ID EP190242
- DOI -
- Views 102
- Downloads 0
A Comparative study of Skin Closure by Adhesives (N-Butyl Cyanoacrylate) v/s Conventional methods
The skin closure by adhesives (Glue) is quick method of skin approximation. It reduces closure time by half in comparison of stapler technique and the one tenth of the conventional techniques. Glue leaves a hair line sca...
A comparative study of serum lipoprotein ‘a’ [S(Lp(a)] in type - II diabetic v/s nondiabetic patients with ST-Elevation Myocardial Infarction (STEMI)
Aim: The study was aimed to compare the serum levels of Lp(a) in between diabetic and Nondiabetic patients who presented with STEMI and to study the correlation if any between dyslipoprotien(a)emia and dyslipidemia in pa...
Awareness about diabetic retinopathy in patients with diabetes mellitus: A KAP study
Background: With rapidly increasing Diabetic population, the incidence of diabetic retinopathy is on the rise. As it can have vision threatening complications, early diagnosis and management of these can go a long way to...
A study of maternal and perinatal outcome of breech presentation in vaginal and operative deliveries in a university hospital
Introduction: Most newborns are born with cephalic presentation, but at the end of pregnancy, around 3-4% is found to be breech. Caesarean section for breech presentation has been suggested as a way of reducing the assoc...
Effect of Pranayama on cardiopulmonary functions and serum MDA levels
Yoga, pranayama, trascedental meditation are age old ancient Indian techniques known for providing a better way of living. They are claimed to improve status of body and mind. There are some evidences that pranayama prod...