Roeda Shams, Sarwat Noreen, Qamar Un Nisa.
Efficacy of Oral Misoprostol in the Induction of Labor.
Med Forum Jan ;31(1):120-3.

Objective: To determine the efficacy of oral mesoprostol in the induction of labor at term pregnancy Study Design: Prospective observational Place and Duration of Study: Obstetrics & Gynaecology Department, Rehman Medical Institute, Peshawar from 15thJune 2015 to 14thJune 2016. Patients and Methods: All women received 50 ug of tablet misoprostol orally every 4 hours (max 6 doses). All the women were followed up regularly till 12 to 24 hours After the first course of 3 doses patients were given 24 rest and then re induced with patient consent. All the observations and therapeutic intervention were done under supervision of an expert obstetrician having minimum of five years of experience. Results: In this study mean age was 27 years with SD +- 2.317. 43 percent patients were Primi gravida patients while 57% patients were multi gravida. The most common indication for induction was postdate pregnancies (41%) followed by PROM and oligohydramnios. 211(95%) patients delivered with 24 hours requiring only 3 doses of misoprostol. The efficacy of misoprostol was found to be 78% in induction of labor at term pregnancy. Conclusion: The efficacy of misoprostol was 78% in induction of labor at term pregnancy.

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