A COMPARATIVE STUDY OF LABOUR INDUCTION WITH INTRAVAGINAL MISOPROSTOL VERSUS INTRAVENOUS OXYTOCIN IN TERM PRELABOUR RUPTURE OF MEMBRANES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 24
Abstract
BACKGROUND Management of Term Prelabour Rupture of Membranes (PROM) remains a matter of debate despite exhaustive research. Aims and Objectives- The objective of this study was to compare use of Tab. Misoprostol per vaginum versus Oxytocin infusion in PROM at term with respect to induction-delivery interval and maternal and foetal outcome. MATERIALS AND METHODS The present study was descriptive comparative study of Tab. Misoprostol (Group A) and Oxytocin infusion (Group B) for induction of labour in PROM at term. The study population consisted of 140 patients. RESULTS Mean induction delivery interval in present study was 541.06 ± 186 minutes in Group A and 556.69 + 219.54 minutes in Group B (p= 0.418), showing no significant difference between two groups. 8.6% women in Group A and 2.9% in Group B had hyperstimulation with no significant difference between the two. There was no significant difference in neonatal complications in the two groups. CONCLUSION The incidences of maternal and foetal untoward effects are similar with use of the two inducing agents with no significant difference in induction delivery interval. Vaginal administration of Misoprostol in a dose of 25 µg 6 hourly to maximum of four doses is an effective alternative of oxytocin for labour induction in term PROM, especially in low resource set-ups where storage facility for oxytocin and skilled staff for its titration is not available.
Authors and Affiliations
Sarika Arsekar, Manjusha Jindal
Keywords
Related Articles
- EP ID EP450576
- DOI 10.14260/jemds/2018/650
- Views 114
- Downloads 0
A RARE CASE OF DESMOPLASTIC FIBROMA OF ULNA
Desmoplastic fibroma is an extremely rare locally aggressive primary bone tumor. It is a slowly progressive tumor commonly seen in mandible, femur, and pelvis. Rare in ulna. A young female of 18 years present...
A COMPARATIVE STUDY OF EPIDURAL VOLUME EXTENSION TECHNIQUE VERSUS SPINAL ANAESTHESIA USING HYPERBARIC BUPIVACAINE IN LOWER ABDOMINAL AND LOWER LIMB SURGERIES
BACKGROUND Epidural Volume Extension technique (EVE) via a combined spinal epidural technique is the enhancement of small dose intrathecal block by epidural saline boluses. 1 Epidural volume extension of a small dose spi...
PROSPECTIVE STUDY ON DIFFERENT MODALITIES OF TREATMENT FOR SYMPTOMATIC HEMORRHOIDS
[b]AIM[/b]: Prospective observational study of symptomatic pile masses reveals that all masses in a patient may not be of the same size or degree. Since long the only treatment for different degrees of piles had been...
STEROID-INDUCED DYSGLYCAEMIA DURING FIRST 48 HOURS OF STEROID THERAPY IN HOSPITALISED PATIENTS
BACKGROUND Glucocorticoid (GC) is crucial for glucose, lipid and protein metabolism and therefore for energy balance. GCs are used in treatment of chronic obstructive pulmonary disease (COPD) exacerbations, a clinical ma...
BLIND INDIVIDUALS EXHIBIT BETTER INFORMATION PROCESSING BY THE AUDITORY CORTEX: A COMPARATIVE CASE CONTROL STUDY
[b]BACKGROUND[/b]: Totally blind individuals are often considered to be compensated for their visual loss by augmentation in the auditory and tactile perceptions as compared to normal subjects. The objective o...