Evaluation of post-partum blood loss after misoprostol induced labor.

ABSTRACT

To objectively evaluate postpartum blood loss after successful misoprostol induction, and compare itwith blood loss after oxytocin induction of labor.One hundred women with completed 40 weeks singleton normal pregnancy, average size cephalic fetus,fifty in oxytocin induction group, and fifty in misoprostol induction group. Blood was collected in suction set andmeasured in the delivery room starting after delivery of the fetus, and was evaluated by pad weighing in thefollowing six hours.Blood loss was significantly greater in the misoprostol induction group than in oxytocin .induction group [392.5 +/- 110.3 vs. 283.75+64 ml]. Blood loss in misoprostol induction group was significantly correlated withhigher Bishop score, and short labor duration. Misoprostol induction is associated with increased blood loss, and is better reserved for casesrequiring cervical ripening