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Article
MISOPROSTOL EFFICACY IN LABOR INDUCTION

Authors: Asma Z. Fadhil اسمى زهير فاضل --- Edwar Z. Khosho ادور زيا خوشو
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 2 Pages: 114-118
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:The process of normal human childbirth is categorized in three stages of labor: the shortening and dilation of the cervix, descent and birth of the infant, and delivery of the placenta. Oxytocin is the most commonly used agent for induction, and is used to induce uterine contractions.Objective:To estimate the efficacy of oral misoprostol for labor induction.Methods:This randomized, controlled trial study was comparing intravenous oxytocin to a 25-microgram dose of oral misoprostol every 3-4 hours. A woman who had cervical dilation of 0-2 cm then undergoes labor induction. Our outcome was recorded.Results:we found when we used misoprostol the time duration was significantly less specially in primigravida and when os closed, the side effect approximately same as oxytocin.Conclusion:Oral misoprostol is an effective agent for inductionof labor.Keywords:Induction of labor, misoprostol, oxytocin


Article
transvaginal ultrasonographic cervical length measurement as a predictor of successful labor induction

Authors: sawsan M. Hamdalla سوسن --- RiyadhA. Hussain رياض عبد الرزاق
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 2 Pages: 162-167
Publisher: Baghdad University جامعة بغداد

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Abstract


Article
Bishop Score and the Risk of Cesarean Delivery after Induction of Labor in Nulliparous Women
تقييم قياسات عنق الرحم بطريقة بشوب وعلاقته بخطورة الولادة القيصريه بعد حث الولاده في النساء الحوامل لاول مرة

Authors: Maha M. Al-Bayati مها محمد البياتي --- Basma Z. Jameel بسمة جميل --- Manal Ibrahim Mzaiel منال ابراهيم
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2013 Volume: 26 Issue: 3 Pages: 237-242
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractBackground: Induced labour has an impact on the birth experience of women. It still carries the risk of cesarean delivery compared with spontaneous labour especially for nulliparous women with unfavorable cervix.Objective: To assess the risk and the risk factors for cesarean delivery associated with induction of labor in nulliparous women in relation to bishop score.Design: An interventional study in AL-Khadimia Teaching Hospital.Methods: A group of 198 nulliparous pregnant women with a term singleton fetus in cephalic presentation scheduled for induction participated in this study. Indications and bishop scores were recorded before labor induction. Obstetric and neonatal data were analyzed and compared with the results in women with a low Bishop score. Data were analyzed using univariate and multivariable regression modeling.Results: The cesarean delivery rate in women undergoing labor induction was 46.96%, for Bishop Score ≤4 cesarean section (C/S) rate was 29.79%, and for Bishop Score ≥5 cesarean section (C/S) rate was 14.64%. After adjusting for the Bishop score at admission, Bishop score of 4 or less was a predominant risk factor for a cesarean section (C/S), the degree of cervical dilatation and station of the presenting part was the most significant parameter for risk of cesarean section (C/S). Other variables with significantly increased risk for cesarean delivery included maternal age of 30 years or older and birth weight of 3.500 gm or higher, gestational age of more than 41-42 weeks.Conclusion: Induction of labor in nulliparous women at term with a singleton fetus in cephalic presentation is associated with an increased risk of cesarean delivery predominantly related to an unfavorable Bishop score at admission.Keywords: Induction of labor, Bishop Score, risk of cesarean delivery.

الخلاصة الخلفيه: حث الولاده ممكن ان يكون غير ناجحا بالاضافه الى تعرض النساء الحوامل لخطر الولاده القيصريه وخصوصا للنساء الحوامل لاول مرة وعندما لا تسمح حالة عنق الرحم بذلك .الاهداف: تم تصميم هذه الدراسه لتقييم تاثير قياسات عنق الرحم بطريقة بشوب وعلاقته بخطورة الولاده القيصريه بعد حث الولاده في النساء الحوامل لاول مرة .نوع الدراسه : دراسه تداخلية .الموقع: مستشفى الكاظميه التعليمي .الطرق : تمت دراسة198 امراة ذوات حمل مفرد كامل لاول مرة في مستشفى الكاظميه التعليمي اجري لهن حث الولاده اما بواسطه الاوكسيتوسين المستمر مع فتح اغشية الجنين عندما تسمح حالة عنق الرحم او استعمال عقار الميزوبرستول لتحسين حالة عنق الرحم عندما لا تسمح حالة عنق الرحم بحث الولادة.النتائج : بعد ان تم اجراء حث الولادة في النساء الحوامل لاول مرة كانت نسبة خطورة الولاده القيصريه 46.96%، كانت نسبة الولاده القيصريه عندما لا تسمح حالة عنق الرحم باجراء حث الولادة 29.79%، وعندما كانت حالة عنق الرحم تسمح بذلك النسبة كانت 14.64%، قياس بيشوب 4 او اقل يعتبر عامل خطورة للولاده القيصريه كما ان درجة توسع عنق الرحم و موقع راس الجنين في الحوض من اهم العوامل التي تحدد الولاده القيصريه كما ان عمر الام 30 سنة او اكثر والوزن عند الولادة500 .3 غم اوعمر الحمل اكثر من 41-42 اسبوع من العوامل الملموسة لزيادة خطورة الولاده القيصريهالاستنتاج : حث الولاده في النساء الحوامل لاول مرة يمكن ان يعرضها لخطر الولاده القيصريه خصوصا عندما لا تسمح حالة عنق الرحم حسب قياسات بيشوب


Article
Prediction of the mode of delivery in women subjected to induction of labor by measurement of angle of progression

Author: Fatin Shallal Farhan
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2016 Volume: 15 Issue: 3 Pages: 5-10
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Transperineal ultrasound measurement is now widely spread and easy to perform method for assessing progressive descent of the head through the pelvis by measurement of many parameters. One of these is the angle of progression which is found to be a successful method that assist obstetrician in predicting the success of induction of labor and the mode of delivery whether vaginal delivery or caesarean section. Objective: To assess the value of angle of progression (AOP) measurement by transperineal ultrasound in the prediction of the outcome of induction of labor at term whether vaginal or caesarean section. Methods: This clinical prospective study was conducted in Al-Yarmouk teaching hospital in the labor ward at the obstetrics department in the period from 1st of December 2015 to 1st of March 2016. Hundred nulliparous women with singleton, term pregnancy (37- 42weeks) were admitted for induction of labor for various reasons. Before the induction; transperineal ultrasound was done to measure the angle of progression. Comparism was done between the group who delivered vaginally and those required caesarean section regarding the difference in angle of progression and induction-to-delivery interval. Results: 77 (82.79%) were delivered vaginally and 16 (17.2%) required emergency Caesarean delivery. There were significant correlations between AOP and induction-to-delivery interval and the mode of delivery. AOP was significantly wider in those who delivered vaginally than women delivered by caesarean section. Conclusion: The measurement of angle of progression can be used as a simple and risk free method to predict the mode of delivery before the induction of labor.

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