|
|
||||
|
Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
||||
|
ISSN 1681-715X |
||||
|
||||
|
- |
||||
|
ORIGINAL ARTICLE |
||||
|
- |
||||
|
Volume 24 |
April - June 2008 (Part-I) |
Number 2 |
||
|
|
||||
|
|
||||
|
|
||||
|
Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
||||
|
ISSN 1681-715X |
||||
|
||||
|
- |
||||
|
ORIGINAL ARTICLE |
||||
|
- |
||||
|
Volume 24 |
April - June 2008 (Part-I) |
Number 2 |
||
|
|
||||
|
|
||||
Intracervical PGE2 gel for cervical
ripening and induction of Labour
Fazia Raza1, Saeeda Majeed2
ABSTRACT
Objective: The objectives of the study were to evaluate the efficacy of interacervical gel as a cervical ripening agent in the unfavourable cervix. The changes in the Bishops score, onset of labour and its progress were secondary outcome measures.
Methodology: Fifty patients were enrolled in this prospective study conducted in Gynae "A" unit of Khyber Teaching Hospital, Peshawar from January to December 2004. Patients with singleton living fetus, cephalic presentation, gestational age of >36 weeks completed were included. Half milligram (0.5mg) of prostaglandin E2 gel intracervical was used for intracervical application. The application was repeated after 6-12 hours if the Bishop score remained unfavourable i-e <5.
Results: The indications were postdates pregnancy (50%), PIH (18%), Diabetes Mellitus (18%) and Rh isoimmnization (6%). The success rate in terms of vaginal delivery was 82%. The lower segment caesarean section rate was 18%. The commonest indication for caesarean section was failure to progress. The complications side effects were minimal & the neonatal outcome was good.
Conclusion: This study showed that intracervical application of prostaglandin E2 gel is effective, safe acceptable method for ripening of cervix in women with unfavourable cervix.
KEY WORDS: Intracervical prostaglandin E2, unfavorable cervix, Bishop score, induction of labour.
Pak J Med Sci April - June 2008 (Part-I) Vol. 24 No. 2 241-245
1. Fazia Raza,
Gynocologist,
Ploy Clinic Hospital ESSI Kohat Road,
Peshawar - Pakistan.
2. Saeeda Majeed,
Incharge Gynae Department,
Rehman Medical Institute,
Hayatabad, Peshawar - Pakistan.
Correspondence:
Fazia Raza,
E-mail: faziaraza@yahoo.com
* Received for Publication: September 20, 2007
* Revision Received: January 23, 2008
* Revision Accepted: January 27, 2008
HOME | SEARCH | CURRENT ISSUE | PAST ISSUES
Professional
Medical Publications
Room No. 522, 5th Floor, Panorama Centre
Building No. 2, P.O. Box 8766, Saddar, Karachi - Pakistan.
Phones : 5688791, 5689285 Fax : 5689860
pjms@pjms.com.pk
