TITLE:
Maternal and Perinatal Prognosis of Artificial Induction of Labor with Misoprostol at the Reference Health Center of Commune 2 in Mali
AUTHORS:
Tidiani Traoré, Seydou Z. Dao, Seydou Traoré, Adoul Azize Togo, Bakary Abou Traoré, Ahmadou Coulibaly, Ibrahim Ousmane Kanté, Kassoum Sidibé, Thierno Boubacar Bagayoko, Alpha Sanogo, Famakan Kané, Adama Bah, Ibrahima Donigolo, Babou Traoré, Adama Coulibaly, Abdrahamane Diarisso, Youssouf Traoré, Ibrahima Teguété, Augustin Tiongani Théra
KEYWORDS:
Childbirth, Induction, Artificial, Misoprostol, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.4,
April
14,
2022
ABSTRACT: Introduction: The artificial induction of labor is increasingly common. Objective: Evaluate
the maternal-fetal prognosis of artificial induction with misoprostol at the
referral health center of the commune II. Methods: This is a
cross-sectional, prospective, descriptive and analytical study which took place
from September 1, 2019 to December 31, 2020. Included in the study were
pregnant women carrying an evolving or terminated single-fetal pregnancy of at
least 28 WA in cephalic presentation on a healthy uterus. The trigger has been
made with 50 μg
misoprostol administered
sublingually into the posterior vaginal fornix. The dose was renewed as needed
every 6 hours, until sufficient uterine contractions were obtained without
exceeding 200 μg. Results: The frequency of artificial induction of
labor was 1.25%. Indications were dominated by premature rupture of membranes
(29.8%), overdue (19.1%), high blood pressure (19.1%), suitability of pregnant
women (14.9%) and terminated pregnancies (10.6%). The vaginal delivery rate was
85.1% The Apgar score was greater than or equal to 7 in 83.3% of cases at the
1stminute. Maternal morbidity was marked by postpartum hemorrhage due to uterine
atony in 4.3% cases. No maternal and neonatal deaths were noted. Conclusion: Induction of labor with misoprostol is a safe and effective method if
careful selection of patients is made.