Current Practices of Cervical Ripening and Induction of Labour in Intrauterine Foetal Demise: An Observational Study

Journal of Obstetrics and Gynaecology of India
Kinnari V AminAnchal Goel

Abstract

Objectives of the current study were to find the most effective method of induction of labour in case of intrauterine foetal death (IUFD), with efficacy described as least induction-to-delivery time, and the agent with the best safety profile, i.e. least maternal complications. This was a prospective observational descriptive study carried out between January and November 2015 in a tertiary care centre. Hundred consecutive cases of IUFD after 20 weeks of gestation requiring induction of labour and fulfilling inclusion criteria were selected. The method of induction decided by each consultant was noted, and results were analysed. As this was a purely observational study, all agents used for induction of labour (misoprostol, dinoprostone gel, intracervical Foley catheter) and all dose variations were included. The induction-to-delivery interval was shortest with dinoprostone (12.52 h) followed by Foley catheter (13.28 h) and misoprostol (15.82 h). However, the p value (0.301) was not statistically significant. Misoprostol was used more often in second trimester, while dinoprostone gel was most commonly used in third trimester. Failure occurred in 3 cases; all required lower segment caesarean section (LSCS). No significant complic...Continue Reading

References

Jul 16, 2013·Revista da Associação Médica Brasileira·Maria Isabel do NascimentoEduardo Loyola Villas Bôas
Sep 26, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lori M Gawron, Jessica W Kiley
Jun 21, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Quan MeiHaiBo Zhou
Jul 23, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Mohammed T Gadel RabMohammed Yehia

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