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11- EXTRA-AMNIOTIC SALINE VERSUS EXTRAAMNIOTIC MISOPROSTOL FOR RIPENING THE UNFAVORABLE CERVIX

Ali F Al-Assadi

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2011 Volume: 17 Issue: 1 Pages: 72
Publisher: Basrah University جامعة البصرة

Abstract

Ali F Al-AssadiFICOG, CABOG. Assist. Prof., Dept. of obstetrics & gynecology, Basrah Medical College.AbstractThis study aimed to compare the efficacy of two methods (extra-amniotic saline instillation andextra-amniotic misoprostol) for ripening the unfavorable cervix.The study was set at the labour room in Basrah Maternity (teaching) hospital with 300 bedcapacity.It is a prospective comparative study conducted to compare extra-amniotic saline instillationand extra-amniotic Misoprostol for ripening the unfavorable cervix.Group I (Extra-amniotic saline instillation): Foley’s catheter with extra-amniotic normal salineinstillation at a rate of 1ml/min.Group II (extra-amniotic Misoprostol): The cervix was ripped with 25mcg. Misoprostol injectedextra-amniotically using a Foley’s catheter.The clinical trial involved a total (121) pregnant women, in group I (57) and in group II (64). Thesuccess rates in achieving cervical ripening were 100% for both groups. The mean post ripeningBishop’s score in group II (primigravidae (7.5 ± 1.5), multigravidae (7.86 ± 1.39)) weresignificantly higher than those in group I (primigravidae (6.01±0.4), multigravidae (6.07± 0.47)).The mean ripening time (hrs) in group II (primigravidae (6.15± 2.1), multigravidae (4.03± 1.3))were significantly shorter than those in group I (primigravidae (7.71± 1.02), multigravidae (6.4±1.02)). The mean induction-delivery time (hrs) in group II (primigravidae (5.3± 2), multigravidae(3.8± 1.4)) were significantly shorter than those in group I (primigravidae (7,7± 2.03),multigravidae (5.92± 1.9)). The vast majority of women under study had vaginal delivery (80.7%in group I and 96.8% in group II).In conclusion, EAM was quick and effective method for ripening the cervix, it requires littletraining for application so that it is a suitable method for patients who require rapid induction oflabour.

Keywords

EXTRA AMNIOTIC --- MISOPROSTOL RIPENING --- CERVIX