Title: Induction of Labour with Vaginal Misoprostol and Incidence of Cesarean Delivery for MSL
Authors: Dr Jyoti Bindal, Dr Smita Soni
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.216
Abstract
Aim: Induction of labour with low lose of misoprostol (25 mg) and detecting the incidence of cesarean delivery for MSL.
Design: Prospective randomized control trial conducted at Kamla Raja Hospital, GRMC, Gwalior from 01 Jan. 2017 to 30 June 2017.
Participants: 150 pregnant women requiring induction of labour.
Methods: The women were divided into two groups based on Bishop score as favourable and unfavourable cervix group, induction delivery interval, number of misoprostol doses, incidence of meconium stained liquor, incidence of meconium aspiration syndrome and rate of cesarean section for fetal distress due to meconium stained liquor.
Results: Among the outcomes compared between unfavourable and favourable cervix groups induction delivery interval, number of misoprostol doses and incidence of meconium stained liquor and meconium aspiration syndrome was more in unfavourable cervix group and thereby increases the rate of cesarean delivery. Long induction delivery interval and higher number of misoprostol doses were associated with higher incidence of meconium stained liquor in primigravida with unfavourable cervix group.
Conclusion: Misoprostol is an effective priming and labour inducing agent. Though incidence of meconium stained liquor is higher in misoprostol induced labour among women with unfavourable cervix thereby increasing the rate of cesarean delivery for meconium stain liquor and increasing maternal as well as fetal morbidity and mortality.
