Current Practice and results of labour induction in teaching hospitals Khartoum

Abstract

In this study 388 patients for induction of labour, 188 of favourable cervix induced by oxytocin, 200 patients of unfavourabl cervix induced by either intravaginal misoprostol of prostaglandins E2 (PGE2). The commonest indication for induction was prolonged pregnancy (70.6%), followed by PIH (17%) and then DM (8.2%). The average doses were 6.5 units for oxytocin, 59 μg for misoprostol and 3 mg for PGE2. The time of induction to delivery interval in the three methods misoprostol, oxytocin and PGE2 were 430 minutes, 499 minutes and 585 minutes, respectively. There were no significant differences between the three methods in the form of neonatal outcome or maternal complications. However, uterine hyperstimulation was more common in patients induced by misoprostol. The rate of C/S was 16%, no significant difference between the three methods in the C/S. Vaginal misoprostol was cheaper, stable at room temperature and more effective in labour induction than either PGE2 or oxytocin.