FREQUENCY OF SUCCESSFUL VAGINAL DELIVERY AFTER INDUCTION WITH VAGINAL MISOPROSTOL IN POSTDATED PREGNANCY

JPUMHS;2023:13:04,29-33. http://doi.org/10.46536/jpumhs/2023/13.04.467

Abstract

ABSTRACT OBJECTIVE: This research aims to provide valuable insights into the efficacy of misoprostol induction in achieving vaginal delivery in post-dated pregnancies. Through a comprehensive assessment of these factors, the study seeks to contribute to the understanding of optimal induction strategies for improved birth outcomes in this specific population. MateriAL AND METHODS: The study was conducted at the Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar, Pakistan, over a period of six months, from September 2020 to March 2021. Total 117 pregnant individuals aged 18 to 40 years, with postdated pregnancies (gestational age ≥ 42 weeks), were enrolled in the study. Participants meeting the inclusion criteria received an intervention involving the administration of vaginal misoprostol for labor induction. Specifically, a dose of 50 μg misoprostol was administered vaginally and placed in the posterior fornix of the vagina. RESULTS: Total 117 patients were included. Age range of patients was 18-40 years with a mean age of 29.1±1.86 years. Mean gestational age was 42.2±0.41 weeks, parity 1.57±1.20 and number of doses 2.564±0.49 as shown in Table-1. Age group was analyzed as 86(73.5%) patients belongs to age group of 18-30 years while 31(26.5%) belongs to age group <30 years. Total 61(70.9%) & 23(74.2%) successful vaginal deliveries was performed in both 18-30 years & < 30 years age groups respectively. Conclusion: In the context of post-dated pregnancies, this study sheds light on the frequency of successful vaginal delivery following induction with vaginal misoprostol. The findings underscore the potential effectiveness of misoprostol induction, with a notable success rate of 72%.