Document Detail


Labour induction with 25 micrograms versus 50 micrograms intravaginal misoprostol in full term pregnancies.
MedLine Citation:
PMID:  20008056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We undertook this study in order to compare the efficacy of 25 microg versus 50 microg of intravaginal misoprostol for cervical ripening and labour induction at term. The study population consisted of 120 women with term singleton pregnancies in vertex presentation booked for caesarean section. They had a Bishop scoring of <6 and a reactive fetal heart rate tracing. They were randomized into two groups, A and B, to receive 25 microg and 50 microg of vaginal misoprostol, respectively, 4 hourly with a maximum of five doses until the patient had three contractions in 10 minutes. There was no significant difference in the induction delivery interval between the two groups (12.52+/- 7.05 h in the 25 microg group versus 11.72+/- 6.74 h in the 50 microg group; P = 0.58). Of the women in the 25 microg group, 83.3% delivered vaginally as did 71.67% of those in the 50 microg group, but the difference was not statistically significant (P = 0.128). There were significantly more women requiring oxytocin augmentation in the 25 microg group than in the 50 microg group (P = 0.03). However, there were no significant differences in the rates of caesarean and operative vaginal delivery, meconium stained liquor, fetal distress or in the incidences of hyperstimulation between the two groups. Neonatal outcomes were similar. The intravaginal administrations of 25 microg, as well as 50 microg of misprostol, are equally efficacious in inducing labour. The 25 microg group more often required oxytocin as an adjunct.
Authors:
Aruna Nigam; Monika Madan; Manju Puri; Swati Agarwal; Shubha Sagar Trivedi
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2009-12-11
Journal Detail:
Title:  Tropical doctor     Volume:  40     ISSN:  1758-1133     ISO Abbreviation:  Trop Doct     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-15     Completed Date:  2010-04-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  England    
Other Details:
Languages:  eng     Pagination:  53-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi 110001, India. prakasharuna@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Intravaginal
Adult
Cervical Ripening / drug effects
Cesarean Section
Dose-Response Relationship, Drug
Drug Administration Schedule
Female
Gestational Age
Humans
Labor, Induced* / methods
Labor, Obstetric
Misoprostol* / administration & dosage,  therapeutic use
Oxytocics* / administration & dosage,  therapeutic use
Pregnancy
Pregnancy Outcome*
Pregnancy Trimester, Third
Young Adult
Chemical
Reg. No./Substance:
0/Oxytocics; 59122-46-2/Misoprostol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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