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

I Wayan Artana Putra; Sudung Reinhard Siahaan; Pande Kadek Aditya Prayudi; William Alexander Setiawan

doi:10.3889/oamjms.2023.11044

Authors

I Wayan Artana Putra Maternal Fetal Medicine Division, Department of Obstetrics and Gynecology, Medical Faculty, Udayana University, Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali, Indonesia
Sudung Reinhard Siahaan Department of Obstetrics and Gynecology, Medical Faculty, Udayana University, Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali, Indonesia
Pande Kadek Aditya Prayudi Department of Obstetrics and Gynecology, Medical Faculty, Udayana University, Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali, Indonesia
William Alexander Setiawan Department of Obstetrics and Gynecology, Medical Faculty, Udayana University, Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.11044

Keywords:

Labor induction, Intravaginal misoprostol, Pelvic score

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 1^st, 2016 - May 31^st, 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

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