TITLE:
Prognostic Factors of Induction of Labor with Misoprostol at CHUD/B in Parakou, Benin in 2016
AUTHORS:
K. Salifou, I. R. Sidi, M. Vodouhe, A. A. A. Obossou, G. Tikandé, E. Alihonou
KEYWORDS:
Induction of Labor, Misoprostol, Prognosis, Parakou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.4,
April
4,
2018
ABSTRACT: Introduction: Misoprostol is a molecule used for inducing labor these days in order to
reduce perinatal morbidity and mortality. This
study aimed at appreciating maternal and fetal prognosis after induction of
labor on indication for delivery with misoprostol on live fetus at CHUD/B in
2016. Patients and Method: It was an observational case-control type
study with prospective data collection carried out in the gynecology and obstetrics
department of CHUD/B. Were included, 37 WA healthy pregnant women whose
Bishop score was less than 6. Their fetal heart rate and their pelvis were
normal. Fisher chi-2 test was used and the significance threshold of different
associations was 5%. Results: In the
study, 99 women involved were divided into 33 cases and 66 case-controls. The average age of cases was 29.70 ± 5.03 years old with extremes of 20 and 40 years and
that of case-controls was 29.44 ± 4.96 years with extremes of 21 and 40 years. Out of the 1195 deliveries
which took place in the gynecology and obstetrics department of CHUD/B, 33
inductions of labor on full-term live fetuses with misoprostol were performed
that is to say a frequency of 2.76%. The factors associated with maternal and
fetal prognosis were profession, mode of admission, Bishop score with
respectively p-values of 0.049,
0.00005, 0.00001. Conclusion: The use of misoprostol seems beneficial as regards maternal and
fetal prognoses in our practice at a low cost.