Comparative Study of Induction of Labour with Dinoprostone Gel and Tab. Misoprostol

DR.NEHA N. LIMBANI; DR.PRIYANKA J. PARMAR; DR.SANTVAN B. MEHTA; DR.RIDDHI B. SHAH; DR.MUNJAL J. PANDYA; DR.JANKI M. PANDYA

Volume : III, Issue : VII, July - 2014

Comparative Study of Induction of Labour with Dinoprostone Gel and Tab. Misoprostol

Dr. Neha N. Limbani, Dr. Priyanka J. Parmar, Dr. Santvan B. Mehta, Dr. Riddhi B. Shah, Dr. Munjal J. Pandya, Dr. Janki M. Pandya

Abstract :

Objective : To compare the safety and efficacy of intravaginal misoprostol (PGE1) with intra cervical dinoprostone gel (PGE2) for induction of labour, To study the maternal & fetal outcome, To measure an average induction to delivery interval time, To assess the need of oxytocin augmentation. Methods : This is a prospective study conducted at labour rooms of V.S. Municipal hospital, S.C.L. Municipal hospital, L.G Hospital attached to Smt. N.H.L. Municipal medical college, Ahmedabad from June 2012 to December 2013.This study was performed with 100 randomly selected patients with an indication for induction of labour. Among them 50 patients were induced with Dinoprostone gel and 50 patients with Tab. Misoprostol. Results : The change in the Bishop�s score after 6 hours was markedly high in the Tab. Misoprostol group as compared to the Dinoprostone Gel group, 11% Patient in the Tab. Misoprostol group required oxytocin augmentation as compared to 19% in the Dinoprostone Gel group, Induction-Delivery interval was significantly shorter in the Tab. Misoprostol group, Maternal and fetal side effects were low and comparable in both groups. Conclusion : Induction of labour confers benefits in various maternal and fetal conditions, it must be done in the set up where trained staff for continuous monitoring of the patients are available.