11- EXTRA-AMNIOTIC SALINE VERSUS EXTRAAMNIOTIC MISOPROSTOL FOR RIPENING THE UNFAVORABLE CERVIX

• Main Author: Ali F Al-Assadi
• Format: Article
• Language: English
• Published: university of basrah 2011-06-01
• Series: Basrah Journal of Surgery
• Subjects: extra amniotic; misoprostol ripening; cervix
• Online Access: https://bjsrg.uobasrah.edu.iq/article_55135_6707cb08ab0326e0174998a604390bdc.pdf

Ali F Al-Assadi FICOG, CABOG. Assist. Prof., Dept. of obstetrics & gynecology, Basrah Medical College. Abstract This study aimed to compare the efficacy of two methods (extra-amniotic saline instillation and extra-amniotic misoprostol) for ripening the unfavorable cervix. The study was set at the labour room in Basrah Maternity (teaching) hospital with 300 bed capacity. It is a prospective comparative study conducted to compare extra-amniotic saline instillation and extra-amniotic Misoprostol for ripening the unfavorable cervix. Group I (Extra-amniotic saline instillation): Foley’s catheter with extra-amniotic normal saline instillation at a rate of 1ml/min. Group II (extra-amniotic Misoprostol): The cervix was ripped with 25mcg. Misoprostol injected extra-amniotically using a Foley’s catheter. The clinical trial involved a total (121) pregnant women, in group I (57) and in group II (64). The success rates in achieving cervical ripening were 100% for both groups. The mean post ripening Bishop’s score in group II (primigravidae (7.5 ± 1.5), multigravidae (7.86 ± 1.39)) were significantly higher than those in group I (primigravidae (6.01±0.4), multigravidae (6.07± 0.47)). The mean ripening time (hrs) in group II (primigravidae (6.15± 2.1), multigravidae (4.03± 1.3)) were significantly shorter than those in group I (primigravidae (7.71± 1.02), multigravidae (6.4± 1.02)). The mean induction-delivery time (hrs) in group II (primigravidae (5.3± 2), multigravidae (3.8± 1.4)) were significantly shorter than those in group I (primigravidae (7,7± 2.03), multigravidae (5.92± 1.9)). The vast majority of women under study had vaginal delivery (80.7% in group I and 96.8% in group II). In conclusion, EAM was quick and effective method for ripening the cervix, it requires little training for application so that it is a suitable method for patients who require rapid induction of labour.