Labor Admission Test And Neonatal Outcome

Purpose: Purpose of the study is to study the Mode of Delivery and Perinatal outcome in relation to the admission test in the study group . Method: All women in latent phase of labor were subjected to admission test with CTG machine and tracing recorded. Any complication arising during labor and the perinatal out come were recorded. Results: Incidence of fetal distress, need for operative delivery, low apgar scores, low birth weight, admission to NICU and perinatal deaths are significantly more in non reactive admission test group. Conclusion: Admission test is economical, non invasive, and readily available screening test. Non reactive patterns predicts well the incidence of perinatal complications and Neonatal mortality.

A Clinical Trial Comparing Intra Vaginal Misoprostol (PGE1) And Intra Cervical Dinoprostone ( Pge2 ) For Cervical Ripening

In the present trial, Misoprostol(PGE1) and Dinoprostone(PGE2) are compared for their efficacy in pre - induction cervical ripening. After informed consent, 100 patients were randomized to receive either Dinoprostone gel int0.5mg inracervically or Misoprostol tablet 25 mcg intravginally. After 8 hrs, change in Bishops score recorded. During the study it is found that, change in Bishops score is significantly more and induction to delivery interval is significantly less in Misoprostol group. The incidence of side effects is similar in both the groups. It is concluded that a single dose of intravaginal Misoprostol is an efficacious, convenient and inexpensive medication for ripening the unfavourable cervix.