Comparative Study of Induction of Labour in Term Prelabour Rupture of Membrane by Dinoprostone Gel, Vaginal Misoprostol with Spontaneous Onset of Labour and Its Maternal and Foetal Outcome.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Labor induction is a clinical intervention that has the potential to confer major benefits to the mother and newborn when continuation of pregnancy poses a risk or danger to the outcome of pregnancy. PROM occurs in approximately 5–10 % of all pregnancies, of which approximately 80 % occur at term (term PROM) 1 . Diagnosis and proper management is very important as it is implicated for various fetal and maternal complications generally due to infection. To avoid such a complication, labor is usually induced, once PROM is confirmed.This study was conducted at the department of Obstretics and Gynecology,RIMS ,RANCHI where 150 patients were studied who presented to labour emergency. Group A ,B,C respectively consisted of 50 patients who were induced with dinoprostone gel, vaginal tablet misoprostol and rest for expectant management . Induction with DINOPROSTONE GELproved to be the best..Expectantmanagement only be followed at TERM PROM in absence of medical or obstreticalcomplications.Delay in induction exposes mother and infants to septic work up and infection.(Wagner et al 1989).Use of prophylactic antibiotics,proper antenatal monitoring,minimal vaginal examination examination under proper aseptic conditions,screening of lower genital infections and its adequate treatement are important to prevent PROM and fetomaternal complication.
Authors and Affiliations
Indrani Dutta, Jacinta Minz
Keywords
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- DOI 10.9790/0853-1801054251.
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