Clinical Study of Meconium Stained Liquor in Labour Induced with Misoprostol and Its Significance on Fetal Outcome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
BACKGROUND &OBJECTIVES: induction of labour constitutes initiating effective uterinecontractions which will help in cervical dilatation and delivery of the baby before onset of spontaneous labour. This study evaluates the incidence of MSL and fetal outcome in labours induced with misoprostol vaginally. Methods: It consists of 300 women who were randomly selected and with gestational age between 37-42weeks. These woman were divided into two groups. 1st group consists of 100 women who were admitted for induction of labour. 2nd group consists of 200 women who were admitted with spontaneous onset of labour.This study was conducted at Dr.PSIMS&Rf in dept. of obstetrics and gynaecology. Data collected and analysed. Results:Group – I consists 100, induced with 25µg Misoprostol per vaginally repeated every 4thhrly to a maximum of 4 does till effective uterine contractions occurred /Cx dilatation of 4 cm reached.nGroup – II consists of 200 women who had spontaneous onset of labour without induction.Average no. of Misoprostol required in Group – I was 2.05 ± 1.1 doses.Average induction delivery interval in Misoprostol group was 13.48± 2.5 hours.Incidence of meconium stained liquor in Group – I was 25 %, were as in Group –II was 10.0%. There was no statistically significance in both groups. Caesarean section rate was 6 % in Group – I, 3%in Group - II There were more number of outlet forceps 8 (8%) in Group – I, than in Group –II8 (4%). Additional oxytocin was required in 39% in Group – I, 16.5% in Group - II.Tachysystole was observed in 4 cases, hyperstimulation in 4 cases in Group – I, where as Group – II tachysystole was observed in 2 cases and hyperstimulation in one case.Low APGAR was found in 8 cases in Group – I, 6 cases in Group – II, 10 babies were admitted to NICU from Group –I, 8 babies from Group – II. Among those 2 from Group – I, 1 baby from Group – II were died in the neonatal period.
Authors and Affiliations
Dr. Channareddy Sunitha,, Dr. Y. Rajya Lakshmi
Keywords
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- EP ID EP380901
- DOI 10.9790/0853-1708044247.
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