Title: A Retrospective Study on the Delivery Outcome among the Term Pregnant Women
Authors: Dr Kamrun Nahar, Dr Md. Jahangir Alam, Dr Parul Akhte
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.77
Abstract
Background: Now a day’s pharmaceutical or non-pharmaceutical method are use for labor induction. For labor induction oxytocin and prostaglandins are used mostly labor induction. Recently use of misoprostol in term pregnancy is exceptionally helpful for the better result amid conveyance.
Objective: The reason for the present investigation was to see the conveyance result among the term pregnant ladies.
Methodology: This accomplice think about was completed in the Department of Obstetrics and Gynecology at Proactive medical college and hospital, Narayanganj during the period from 1st February 2016 30th January 2018. Primi or second gravida patients with the gestational age between 38 weeks to 42 weeks in singleton pregnancy with cephalic introduction and not in labor who desired conveyance purposes amid the examination time frame at any age were chosen as study populace. After appropriate choice of the cases, acceptance of work (IOL) was finished by applying Tab Misoprostol 50mcg in the back vaginal fornix. Motivation behind enlistment of work was fruitful when vaginal conveyance happened with no untoward reactions and with no careful impedance.
Result: Out of 63 pregnant ladies 23 (40%) patients had negative Bishops' score with 3-5 and 40 (60%) patients had positive Bishops' score with 6-10. This table demonstrates that 40 patients had positive pre-acceptance cervical score, among them 80% had conveyed vaginally and 20% had experienced LUCS. 23 patients had horrible cervix, among them 58% experienced vaginal conveyance and 42% experienced LUCS. Out of all investigation populace 60% of study populace who were primigravide had vaginal conveyance in 67% cases and cesarean segment in 33% cases and among 40% second gravida cases vaginal conveyance was 80% and cesarean conveyance was 20%.
Conclusion: In conclusion the utilization of misoprostol amid term pregnancy is essentially related with the typical conveyance.
Keywords: Pharmaceutical, Labor induction oxytocin, Prostaglandins.
