ABSTRACT
Background: In modern medicine induction of labour is required in patients for a good feto-maternal outcome. PGE2 is a prostaglandin analogue which has been used as a cervical ripening agent to improve bishops score. Objective of this study was to evaluate the efficacy of intravaginal PGE2 gel as a cervical ripening agent in unfavourable cervix for induction of labor and any complications associated with its use.Methods: This study comprised of 90 women who required labor induction. Singleton pregnancy above 37 weeks, live intrauterine fetus, Cephalic presentation, Bishop score of 1-6, reactive FHR pattern were included. Women who required only single induction were categorized as Group 1. Those requiring more than one dose after reassessment of bishops scoring at 6, 12 and 18 hours belonged to Group 2.Results: Group1 had more of younger population below 30 years consisting more primigravidas with > 80% women having gestational age of > 39 weeks. Most common indication for induction of labour in both groups was post-dated pregnancy. 65 patients received one dose of cerviprime gel forming Group 1. In Group 2, 72% received 2 doses and 28%, 3 doses of gel. Initial bishops score mean was 4.2 in Group 1 and 4.1 in Group 2. Mean change in bishop score was analysed after 6, 12, and 18 hours of instillations of PGE2 gel. Significant p value was obtained in all groups requiring one, two and three doses of gel. In Group 1, 12.3% and in Group 2, 16% had LSCS. Maternal side effects were minimal and neonatal outcome was good.Conclusions: The study showed that intravaginal application of PGE2 is effective, safe and acceptable method as a cervical ripening agent for labor induction in women with poor bishops score. It reduces caesarean delivery rate without increasing maternal and neonatal morbidity.
ABSTRACT
Objective: To analyze the medical advantages of using Electric Hospital Bed in disabilities caused due to different diseases, medical conditions or genetic defects. Subjects and Methods:A total of 130 patients who were using Electric Hospital Bed were included in the study group. All the patients had disability due to their diseased conditions, or birth defects. The study comprised of 17 category of groups. Results: The mean value and standard deviation of the number of patients in 17 study groups were found to be (22.235 ± 31.346) (p < 0.0001) while the mean and standard deviation of the age was found to be (67.18 ± 20.36) and the difference in the age were found to be significant (p < 0.0001). The correlation of Disability Vs Obstructive Sleep Apnea (OSA) (r = 0.5673) was found to be positively significant. While the correlation of Disability Vs birth defects (r = - 0.3475). The correlation of Disability Vs Spinal Cord Injury (SCI) (r = - 0.5635), the correlation of Disability Vs Osteoporosis (r = - 0.5923) were found to be negatively significant. Conclusion:Raising the foot of the home care bed takes pressure off of the lower back, easing aching back pain in Cerebral Palsy (CP) and inclined position helps in control of Acid Reflux in CP. Fowler’s position helps in improve in breathing by increasing maximum lung expansion. In diabetic patients the use of Electric Hospital bed increases the blood circulation. Electric Bed provides wide range of positions for immobile patients. Key words: birth defects, cerebral palsy, chronic respiratory diseases, diabetes, obstructive sleep apnea, spinal cord injury Significance of the Study: To study the medical advantages of using electric hospital bed in different medical conditions like respiratory disease, heart diseases, arthritis, birth defects, spinal cord injury, diabetes, Renal diseases, and establish its importance in decreasing chronic pain, increasing oxygenation, reducing edema, improving poor circulation, sleep apnea, acid reflux and prevention of bed sores.