THE EFFECTIVENESS OF VAGINAL MISOPROSTOL AND INTRACERVICAL CATHETERIZATION IN INDUCING LABOUR IN CASES OF INTRAUTERINE FETAL MORTALITY
Main Article Content
Keywords
Intrauterine fetal death, Labor induction, Intracervical catheterization, Vaginal misoprostol.
Abstract
Objective
The present study aims at the evaluation The Effectiveness of Vaginal Misoprostol and intracervical Catheterization in Inducing Labour in cases of Intrauterine Fetal Mortality
Study design: A randomized controlled trial study.
Place and Duration: This study was Conducted in Shaikh Zaid Women Hospital @ Shaheed Muhtarma Benazir Bhutto Medical University Larkana Pakistan. for period of one years from January 2024 to January 2025
Methodology
This was a randomized controlled trial study. Using non-probability consecutive sampling, 120 pregnant women who were pregnant with confirmed IUFD were enrolled. Participants were randomly assigned into two groups: Group A received intracervical catheterization, and Group B was administered vaginal misoprostol. Vaginal delivery within 12 hours of catheterization and within 24 hours of misoprostol was considered a successful induction.
Results
IBM SPSS version 26 was used for data analysis. The effectiveness difference between the two groups was evaluated using the Chi-square test, with a significance level of p < 0.05. Participants were between the ages of 20 and 40. Group A and Group B had mean ages of 28.64 ± 2.36 and 28.42 ± 2.95 years, respectively. 52 women (86.7%) in Group A and 36 women (60%) in Group B were successfully inducted, indicating a statistically significant difference (p = 0.019).
Conclusion
Intracervical catheterization seems to be more effective compared to vaginal misoprostol for labor induction in cases of intrauterine fetal death.
References
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Fozia Shaikh
Fozia Shaikh, Associate Professor Gynaecology and Obs, Shaikh Zaid Women Hospital @ Shaheed Muhtarma Benazir Bhutto Medical University Larkana Pakistan.
Urooj Niazi
Urooj Niazi, House officer, Pakistan Institute of Medical Sciences Islamabad Pakistan.
Saira Saeed
Saira Saeed, Associate Professor Gynaecology and Obs, Altibri Medical College and Hospital, Isra University Karachi Campus Karachi Pakistan.
Bushra
Bushra, Assistant Professor Gynaecology and Obs, Muhammad Medical College Mirpurkhas Pakistan.
Kanta Bai Ahuja
Kanta Bai Ahuja, Associate Professor Gynaecology and Obs, Pir Abdul Qadir Shah Jillani Institute Of Medical Science Gambat @ Gambat Khairpur Mir’s Pakistan.
Sanna Khan
Sanna Khan, Consultant Gynaecologist, District Headquarter Hospital Mirpurkhas Pakistan.