A COMPARATIVE-STUDY OF VAGINAL MISOPROSTOL AND INTRAVENOUS OXYTOCIN FOR INDUCTION OF LABOR

被引:14
作者
BUGALHO, A
BIQUE, C
MACHUNGO, F
BERGSTROM, S
机构
[1] CENT HOSP,DEPT OBSTET & GYNAECOL,MAPUTO,MOZAMBIQUE
[2] AKAD HOSP,DEPT OBSTET & GYNAECOL,UPPSALA,SWEDEN
[3] UNIV OSLO,ULLEVAAL HOSP,DEPT OBSTET & GYNAECOL,OSLO,NORWAY
关键词
LABOR; INDUCTION; MISOPROSTOL; OXYTOCIN; MOZAMBIQUE;
D O I
10.1159/000292420
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Fifty-two women who had labour induced by intravenous oxytocin were compared with 404 women in whom labour was induced by vaginal misoprostol (50-150 mu g). The induction-to-delivery intervals in the oxytocin and misoprostol groups, respectively, had the following durations. With Bishop's score <6, 24.3 vs. 14.4 h (p = 0.002), with Bishop's score greater than or equal to 6, 10.5 vs. 7.6 h (p = 0.02), with ruptured membranes, 8.8 vs. 8.5 h (p = 0.83), and with intact membranes, 19.6 vs. 13.1 h (p = 0.005). The Caesarean delivery rate was 17.3% in the oxytocin group and 8.7% in the misoprostol group (p = 0.09). Maternal complications were few and drug side effects rare. It is concluded that vaginal misoprostol is a valuable and cost-effective alternative to intravenous oxytocin infusion for induction of labour.
引用
收藏
页码:252 / 256
页数:5
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