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TITLE:

COMPARISON OF ORAL MISOPROSTOL WITH PROSTAGLANDIN E2 FOR INDUCTION OF LABOUR WITH PV LEAKING AT TERM WITH UNFAVOURABLE BISHOP SCORE IN A TERTIARY CARE SETTING OF PAKISTAN

AUTHORS:

Dr. Shamin Fazal, Dr. Masooma Mushtaq, Dr Sidra Batool

ABSTRACT:

Introduction: Induction of labour at term is a common obstetric intervention. Induction of labour is the artificial initiation of labour before its spontaneous onset for the purpose of delivery of the fetoplacental unit using mechanical or pharmacological methods. Objectives: The main objective of the study is to compare the oral misoprostol with prostaglandin E2 for induction of labour with PV leaking at term with unfavourable bishop score in a tertiary care setting of Pakistan. Material and methods: This cross-sectional study was conducted in Pakistan Institute of Medical Sciences, Islamabad (PIMS) during June 2019 to December 2019. The data was collected with the permission of ethical committee of hospital. The data was collected from 200 patients. In each case, detailed evaluation was carried out by complete history, general physical and systemic examination at the time of admission. Results: The data was collected from 100 patients. There was no significant difference with respect to the mean age and estimated gestational age between the groups. Most patients had an unfavourable cervix. The mean pre-induction modified Bishop’s score was 3.23 ± 0.67. Ten percentage of patients had pre-induction modified Bishop’s score of 0–2, 86.5 % of patients had pre-induction modified Bishop’s score of 3–4, and 3.5 % of patients had pre-induction modified Bishop’s score of 5.

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