VAGINAL MISOPROSTOL VERSUS TRANSCERVICAL FOLEY'S CATHETER AND INTRAVENOUS OXYTOCIN FOR LABOUR INDUCTION | ||||
The Egyptian Journal of Fertility of Sterility | ||||
Article 7, Volume 13, Issue 1, January 2009, Page 49-54 PDF (698.9 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/egyfs.2009.4858 | ||||
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Authors | ||||
Maged Elshamy1; Osama Warda1; Ahmed Said2; Alaa Mosbah1; Hend Shalaby1 | ||||
1Obstetric and gynecology department, faculty of medicine, Mansoura University, Mansoura, EGYPT | ||||
2Obstetric and gynecology department, faculty of medicine, Zagazig University, Zagazig, EGYPT | ||||
Abstract | ||||
Objectives: To compare efficacy and safety of 50 mg vaginal Misoprostol with transcervical Foley's catheter and intravenous oxytocin for labor induction. Method(S): 150 women at term gestation, with Bishop score < 4, with various indications for labor induction were randomly allocated to receive either Misoprostol vaginally'6 hourly (maximum 4 doses) or transcervical Foley's catheter with intravenous oxytocin (2 mU/minute to a maximum of 32 mU/minute or till the woman goes into active labour). Results: In Misoprostol group induction-delivery interval was significantly less (11.58 vs 19.45 hours) and successful induction significantly higher (98% vs 78%) as compared to catheter/oxytocin group. Eighty-eight percent of the women delivered within 24 hours of induction in misoprostol group whereas in the other group 72% delivered within 24 hours. Eighteen percent of women delivered with a single dose of misoprostol while 28% required the maximum dosages of oxytocin. Conclusion(S): Vaginal misoprostol is a cheap, highly effective and easy to administer agent for labour induction. | ||||
Keywords | ||||
Vaginal Misoprostol; intracervical catheter and oxytocin; induction of labor | ||||
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