Pre-Induction and Intrapartum Correlates of Successful Induction Of Labour Using Oxytocin and Misoprostol in Abakaliki, Nigeria

Ebonyi Medical Journal Pub Date : 2011-11-07 DOI:10.4314/EBOMED.V9I2.71683

J. Obuna, O. Umeora, B. Ejikeme, U. Agwu

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引用次数: 2

Abstract

Context: Induction of labour (IOL) is a therapeutic challenge and an alternative to Caesarean section. Objectives: To evaluate the success rate of IOL and its determinants at the Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki. Methods: A retrospective study involving 251 parturients who had induction of labour over a five-year period. Results: IOL accounted for 2.9% of the 8,676 deliveries during the study period. The overall success rate for labour induction in EBSUTH was 83.1%. Multiparous women achieved a success rate of 91.4%, grandmultipara 95.7%, and primigravida 58.2%. IOL using Misoprostol had a success rate of 83.1% and Oxytocin titration with synchronous fore water amniotomy 83.1%. Common indications for IOL included prolonged pregnancy (69.0%), and hypertensive disorders in pregnancy (15.7%). Factors influencing outcome included parity, booking status, gestational age, pre-induction cervical status and latent period interval. Conclusion: Induction of labour EBSUTH had a high success rate of 83.1%. Booking status, pre induction cervical Bishop's score ans parity amongst others significantly influenced the success rate in this study. Key Words: Induction, labour, oxytocin, misoprostol, EBSUTH, outcome.

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在尼日利亚Abakaliki，使用催产素和米索前列醇成功引产的产前和产中相关因素

背景:人工引产(IOL)是一种治疗挑战，也是剖宫产的替代方法。目的:评价阿巴卡利基埃邦伊州立大学教学医院人工晶状体手术成功率及其影响因素。方法:对251例5年内引产的产妇进行回顾性研究。结果:在研究期间8676例分娩中，人工晶状体占2.9%。本院引产总成功率为83.1%。多产妇女的成功率为91.4%，大多产妇女为95.7%，初产妇女为58.2%。米索前列醇人工晶状体的成功率为83.1%，同步水前羊膜切开后催产素滴注的成功率为83.1%。人工晶状体的常见适应症包括妊娠期延长(69.0%)和妊娠期高血压疾病(15.7%)。影响结果的因素包括胎次、预约状态、胎龄、引产前宫颈状态和潜伏期。结论:EBSUTH引产成功率高，为83.1%。在本研究中，预约状态、入职前宫颈Bishop评分和均等等因素对成功率有显著影响。关键词:引产，分娩，催产素，米索前列醇，EBSUTH，结局

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Ebonyi Medical Journal

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