Comparative Study of Misoprostol with Dinoprostone  Intracervical Gel for Cervical Ripening and Induction  of Labour

Dr Salil Barsode; Dr Pushpa Naphade; Dr Vaishali Taralekar

Volume : I, Issue : II, October - 2012

Comparative Study of Misoprostol with Dinoprostone Intracervical Gel for Cervical Ripening and Induction of Labour

Dr Salil Barsode, Dr Pushpa Naphade, Dr Vaishali Taralekar

Abstract :

The present study is aimed to compare the efficacy ,safety and cost effectiveness of Dinoprostone with oxytocin infusion and Misoprostol alone for ripening and induction of labour in women with unfavourable cervix. This prospective study was conducted for a period of 3 years in the Obstetrics and Gynaecology department at Bharati Medical College and Hospital Pune. 200 antenatal women, with single live pregnancy more than 34 weeks with vertex presentation and Bishop’s score 6 or less who required induction of labour were included in the study. In conclusion a low dose of Misoprostol was as effective as Dinoprostone Gel for cervical ripening and labour induction. The induction to delivery time was significantly longer in the Misoprostol group (19.29+/–2.42 hours) but the foetal distress and cervical dystocia was similar in both the groups. The neonatal outcome was good and no drug related side effects were encountered in both the groups.