Outcome of Induction of Labour Using 25 Misoprostol in North Central Nigeria: A 5 -Year REVIEW (original) (raw)

Background: Induction of labour is a very common procedure in obstetrics that is not without complications if proper patient selection is not followed. Material & Methods: The aim of the study is to determine the incidence of Induction of Labour (IOL), indication and most importantly the outcome of labour when 25ug of misoprostol is used for IOL This was a retrospective study conducted from January 1, 2015 to December 31, 2019 at the University of Abuja Teaching Hospital Gwagwalada. A total of 264 parturient had IOL with misoprostol during the study period. Results: The rate of induction of labour was 2.5%, the most common indication for induction of labour was prolonged pregnancy (43.9%). 50.4% of the parturients gave birth after a dose of 25ug of misoprostol. 81.8% of parturients had successful vaginal delivery while 18.2% had caesarean section due to failed IOL. The commonest maternal complication was perineal laceration. A total of 6 neonates died. Conclusion: Induction of labour with 25ug of misoprostol was associated with a good foeto-maternal outcome however the need for careful patient selection prior to IOL cannot be overemphasized.