Induction of labour by amniotomy combined IV with syntocinon and IV syntocinon alone
Journal Title: Asian Pacific Journal of Health Sciences - Year 2016, Vol 3, Issue 4
Abstract
Introduction: Induction of labour is artificial initiation of uterine contractions after the period of viability, with the intention of accomplishing delivery prior to onset of spontaneous labor. Oxytocin is the commonest induction agent used worldwide. It has been used alone, in combination with amniotomy or following cervical ripening with other pharmacological or non-pharmacological methods. Aim: The present study is to compare the results of induction of labour by amniotomy combined intravenous with syntocinon and intravenous syntocinon alone. Materials and methods: This Study carried out over a period of six months. Patients with a definite indication for induction were chosen from ante-natal ward and studied in two groups. In group – I, 60 patients who were induced by artificial rupture of membranes combined with intravenous oxytocin included and in group – II, 30 patients who were induced by oxytocin alone included. Results: Induction delivery interval was shorter in the group - I with a mean of 4 hours and 10 minutes ( range being 2 hours 50 minutes to 10 hours 30 minutes ) compared to group - II whose mean duration was 21 hours 36 minutes ( range being 5 hours 30 minutes to 33 hours ). Among the 60 patients in group – I, 44 had spontaneous vaginal delivery, 10 had out-let forceps delivery and 6 subjects underwent caesarean section. By contrast, of the 30 patients in group - II 19 delivered spontaneously, 3 patients has out-let forceps delivery and 8 subjects underwent caesarean section. Mean latent period and IDI are shorter in group - I as compared to group - II.In both groups Post dated pregnancy was the commonest indication of induction followed by gestational hypertension, essential hypertension and intrauterine growth retardation. Failure of induction and fetal distress is much lower in Group- I. Conclusion: The present concluded that that the induction method with amniotomy and syntocinon combined is more efficacious and safer than one with syntocinon alone.
Authors and Affiliations
Dr. J Rajeshwari
Keywords
Related Articles
- EP ID EP525230
- DOI 10.21276/apjhs.2016.3.4.32
- Views 151
- Downloads 0
Estimating and comparing the trends of fertility pattern from various birth cohorts in rural hilly population of Uttarakhand
Background: Nuptiality and fertility are often studied together because nuptiality affects fertility. If childbearing tends to be confined to married couples, as it is in many societies, higher proportion of women marryi...
Downregulation of Bcr-Abl oncogene in Chronic Myeloid Leukemia by microRNAs
The well-known myeloproliferative malignancy, chronic myeloid leukemia (CML), causes due to the formation of short and modified Philadelphia chromosome having the Bcr-Abl oncogene. Many therapeutic approaches have been m...
Comparative study on the onset time and duration of brachial plexus block with addition of potassium chloride to bupivacaine versus plain bupivacaine
Background: Peripheral nerve blockade remains a well accepted component of comprehensive anaesthetic care. The onset of brachial plexus block is slow because the anaesthetic is usually deposited at some distance from the...
The most frequently extracted teeth type: a retrospective cross-section study at Ndola teaching hospital, low cost dental clinic, Zambia
Background: The purpose of this study was to investigate the most commonly extracted teeth type at Ndola teaching hospital low cost dental clinic from March 2017 to April, 2017. Methods: During a 3-month period, data on...
Importance of Homeopathy in treatment and control of sign and symptoms of Rheumatoid Arthritis in Selective Rural Population of village Hanutpura, Jaipur Rural, Rajasthan
This is a 6‐month study set in a teaching hospital’s department of rheumatology out‐patient department (OPD) in Rural Population of village Hanutpura, Jaipur Rural, Rajasthan. The patients of the study were 65 in numbers...