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Category: Volume 3 Issue 08 August 2015
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Title: Value of CTG M Onitoring in Misoprotol Induction Cases for Better Perinatal Outcome

Authors: Athota Smitha*, Nagasree. M.G.S

 DOI:  http://dx.doi.org/10.18535/jmscr/v3i8.06

DIDS : 08.2015-26379129

Abstract

Purpose: To study the efficacy of Misoprostol for induction of labour, to know induction delivery interval in the patients induced with misoprostol and to  assess the role of intermittent CTG monitoring in induction of labour.

Materials and methods: During the 8 months study period a total number of 150 women were studied. 25 mcg of misoprostol was used for induction of labour. 75 women in Group-1 FHR was monitored using intermittent CTG and group-2 other 75 with intermittent auscultation using a stethoscope. These women were compared with respect to age, parity, cervical status, mode of delivery, induction delivery interval, the total number of doses required, incidence of meconium, various fetal heart rate patterns, maternal and fetal complications.

Results: Induction of labour was required in 60% in group 1 and 76% in group 2 who were primigravidae. The incidence of meconium stained liquor was 18.6% in group 1 and 21.3% in group 2. The operative vaginal delivery rate was 4% in group 1 and 2% in group 2. The incidence of APGAR <7 was 5.3% in group 1 and 9% in group 2. NICU admission rate was 13.3% in group 1 and 21.3% in group 2. Neonatal death rate was 4% in group 2 whereas there were no neonatal deaths in Group 1.

Conclusion: Intermittent CTG monitoring of fetal heart rate is better than intermittent auscultation in deducting fetal distress early in labour and thus avoiding neonatal morbidity and mortality.

Key words: Misoprostol, CTG monitoring, Fetal heart rate

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