Study of Induction of Labour with Oral Misoprostol and its Maternal and Perinatal Outcome

Nair, Priya; Jungari, Mugdha L.; Tiwari, Meenakshi; Butola, Lata Kanyal

doi:10.31782/ijcrr.2020.7781

IJCRR

2020

DOI: 10.31782/ijcrr.2020.7781

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Study of Induction of Labour with Oral Misoprostol and its Maternal and Perinatal Outcome

Priya Nair¹,

Mugdha L. Jungari²,

Meenakshi Tiwari³

et al.

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Cited by 2 publications

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“…Patel et al [15] reported about effect of care around labor and delivery practices on early neonatal mortality in the Global Network's Maternal and Newborn Health Registry. Few of the related relevant studies were reviewed [16][17][18][19][20][21][22].…”

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confidence: 99%

Assessment of Indications, Risk Factors, & Materno-foetal Outcomes of LSCS (Emergency & Planned) in a Tertiary Care Rural Hospital of Wardha District, India

Gupta

Muntode

Gaidhane

2021

JPRI

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Background: Occurrence of elective Caesarean Section (CS) is prevalent in the advanced age group, i.e. 26-30 years while higher incidence of emergency CS is seen in 20-25 years, the younger age group. Emergency caesarean delivery analogous with substantially greater maternal and foetal delivery complications in contrast to elective caesarean sections regardless of its growing acceptance as a preferable alternative to vaginal delivery. The study attempts to determine risk factors for emergency and scheduled caesarean surgeries, along with indications of LSCS and maternal-foetal outcomes. Method: Prospective observational study will be carried out on post-natal care women who have undergone LSCS in the past 1 week in the rural tertiary care hospital, Wardha. Study participants will be approached in the OBGY Post Natal Care Ward 1or 2 days post-delivery after assuring their comfort. A predesigned & pre-structured questionnaire containing socio-demographic profile, maternal details, and reasons for planned/emergency C-section, neonatal details etc. Results: From the baseline study, the average number of caesarean-sections was 55-60 %. Proportion of elective and emergency caesarean was 41.40 % and 58.60% respectively. Emergency group is expected to show all of the complications significantly higher in terms of both maternal and fetal outcome. Conclusion: Previous c-section, foetal distress and misrepresentation of the foetus (Breech and Transverse Lie) were recorded as a most important indicator of caesarean section along with obstructed labour. Higher incidence of emergency CS was 20-25 years, while the incidence of elective C-Section was prevalent. in the age group of 26-30 years; Modifiable risk factors for the Caesarean Section, such as early marriage with its associated inadequate pelvic growth and unnecessary avoidance of hospital delivery due to fear of CS, should be discouraged.

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confidence: 99%

Assessment of Indications, Risk Factors, & Materno-foetal Outcomes of LSCS (Emergency & Planned) in a Tertiary Care Rural Hospital of Wardha District, India

Gupta

Muntode

Gaidhane

2021

JPRI

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Postdate Pregnancy Maternal and Fetal Outcomes among Sudanese Women

Awadalla Abdelwahid,

Gawahir Murad,

Hajar Suliman Ibrahim

et al. 2023

Clin J Obstet Gynecol

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Background: Postdated pregnancy is one of the most common obstetric problems associated with increased maternal morbidity, prenatal morbidity, and mortality. Pregnancy at 37-40 weeks of gestation is called the term from the last menstrual period. If the pregnancy exceeds 40 weeks, it is called a postdated pregnancy, but when pregnancy is prolonged beyond 42 weeks, it is called post-maturity or post-term pregnancy. Objective: This study aimed to determine the adverse effects of postdate pregnancy on mothers and fetuses. Methodology: This was a descriptive, prospective, cross-sectional, hospital-based study conducted at Omdurman Maternity Hospital from January 2018 to June 2018. An interview questionnaire was used to collect data. Data were collected by trained doctors in the labor room. One hundred and thirty-eight (138) postdated pregnant women were included in this study after obtaining informed consent through a structured questionnaire. Demographic and clinical data concerning personal history, booking status, mode of delivery, maternal complications, and fetal complications were recorded. Results: During the study period, 2751 women delivered, of which 138 were postdated deliveries, with a prevalence of 5%. Most women's age range was 31-34 years 48.6%). Their education level was mostly secondary school (42%). Primigravida 65%), booked were 75.4%. Previous history of postdate pregnancy was 34.1%, normal vaginal delivery was 79 .7%, cesarean section was 14.5%, and instrumental delivery 5.8%. Cesarean section indications were cervical dystocia (14.4%), cephalopelvic disproportion (9.5%), meconium-stained liquor with fetal distress (33.3%), pathological cardiotocography (CTC) (19%), and failure to progress (23.8%). Maternal complications included post-partum hemorrhage (PPH) (7.2%), perineal tears (.7%, cervical tears (1.4%), and postpartum infections (1.4%). Fetal complications were 14.5%, Shoulder Dystocia 2.9%, asphyxia (6.5%), and meconium aspiration (5.1%). The mean APGAR score was 1.1667, less than three in only 3.6%, and > 7 in 86.9%. Neonatal death was 3%. Approximately 18 neonates were admitted to the Neonatal Intensive care unit (NICU) and only five of them were admitted for more than one week. Conclusion: Postdate pregnancy prevalence in this study was 5%, which was associated with maternal risk of cesarean section delivery, instrumental delivery, postpartum hemorrhage, and postnatal infection.

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Study of Induction of Labour with Oral Misoprostol and its Maternal and Perinatal Outcome

Cited by 2 publications

References 7 publications

Assessment of Indications, Risk Factors, & Materno-foetal Outcomes of LSCS (Emergency & Planned) in a Tertiary Care Rural Hospital of Wardha District, India

Assessment of Indications, Risk Factors, & Materno-foetal Outcomes of LSCS (Emergency & Planned) in a Tertiary Care Rural Hospital of Wardha District, India

Postdate Pregnancy Maternal and Fetal Outcomes among Sudanese Women

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