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The Characteristics of Vaginal Labor with Ripening and Induction with Intravaginal Misoprostol in Prof. Dr. I.G.N.G. Ngoerah Hospital Denpasar during the Period of June 2016 to May 2019

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Background: Labor induction is the process of initiating labor by pharmacologic agents or other measures. The advantages and disadvantages of labor induction is still a controversy that is much debated.… Click to show full abstract

Background: Labor induction is the process of initiating labor by pharmacologic agents or other measures. The advantages and disadvantages of labor induction is still a controversy that is much debated. Aim: To determine the characteristics of vaginal delivery with intravaginal misoprostol induction. Methods: This is a retrospective descriptive study at Sanglah General Hospital, Denpasar during the period of June 1st, 2016 - May 31st, 2019. Data for the eligible cases were obtained from the medical records. Results: A total number of 114 deliveries with intravaginal misoprostol induction were obtained during the study period. Seventy-one cases (61.4%) met the inclusion criteria and 43 cases (38.6%) were excluded. Of the 71 cases, 52 cases (73.23%) succeeded in vaginal delivery and 19 cases (26.76%) failed to be induced and underwent a cesarean section. Most cases of vaginal delivery with intravaginal misoprostol induction occurred in nulliparous women, term pregnancy, without a history of rupture of the membranes, and with a pelvic score of 4. Conclusion: Majority of misoprostol induction succeeded in vaginal delivery and it was more prevalent among nullipara, term pregnancy, without a history of rupture of the membranes, and with a pelvic score of 4. Keywords: Labor induction, intravaginal misoprostol, pelvic score

Keywords: intravaginal misoprostol; period; labor; characteristics vaginal; induction

Journal Title: Open Access Macedonian Journal of Medical Sciences
Year Published: 2023

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