ABSTRACT
Background: Pre labor Rupture of membranes is a common obstetrical problem, significant event as it transforms an ordinary pregnancy into a high risk one. Majority of cases of PROM - of about 60% occur after 37 completed weeks Induction of labour is artificial. Misoprostol is receiving attention as a cervical modifier and labour induction agent. This study compares the safety and efficacy of Misoprostol with Oxytocin in labour induction in term pre labour rupture of membranes. Objective of this study was to compare the safety and efficacy of Misoprostol with that of Oxytocin in labour induction in PROM. The effects were compared between primipara and multipara in a selected sample.Methods: General condition is assessed by pulse rate, blood pressure, height, weight with particular attention to pedal odema, anemia. Cardiovascular and respiratory systems were examined, rule out cephalo pelvic disproportion and for Bishop’s scoring. USG for foetal maturity, Liquor status and for foetal well-being. Admission CTG.Results: There is no significant difference was observed between two groups either in vaginal delivery or in incidence of LSCS. Mean induction delivery interval in misoprostol group for nullipara is 8.5 hours. For multipara it is 6.6 hours. And in oxytocin group for nullipara is 10:4 hours. In multipara it is 6.5 for primipara it was significantly reduced in misoprostol group compared to syntocinon group.Conclusions: Misoprostol is an effective, cheap, safe, stable at room temperature and easy to use if it is used in appropriate dosage for induction of labour in pre-labour rupture of membranes at term.
ABSTRACT
Background & Objectives: Microscopic evidence of Intestinal parasitic infections (IPIs) becomes evident only when the parasites are heavily populated in the intestine. Immunological tests can diagnose IPIs even at earlier stage of a disease but the tests are costly, not easily available and lots of research is yet to be done in that field. So even today we have to rely upon microscopic evidence only & microscopically detected infections may be a tip of iceberg only. The purpose of this study was to determine the distribution of Intestinal parasitic infections in patients attending a tertiary care hospital. Material and Methods: A total of 847 stool sampleswere examined macroscopically & microscopically for the presence of parasite eggs, larva, cysts and trophozoites. Results: Out of 847 stool samples, parasites were detected from 72 (8.5%) samples. The distribution of intestinal parasites was as follows: Entamoeba histolytica (44%), Giardia intestinalis (30%), Trichomonas intestinalis (10%), Ascaris lumbricoides (6%), Hymenolepis nana (4%), Strongyloides stercoralis (2%), Ancylostoma duodenale (2%), and Isospora belli (1%). Conclusion: It is concluded that protozoal infections are more common in our region than helminthic infections. Constant surveillance of the infected patients, their treatment as well as improving sanitary condition will help to prevent the spread of IPIs.