Author(s)

Mamadou Bakary Coulibaly^1*, Alassane Traoré¹, Mody Abdoulaye Camara², Mamadou Sima³, Bourama Kané⁴, Kalba Tembiné⁵, Ibrahima Tégueté³, Youssouf Traoré⁶

¹Department of Gynecology of Hôpital du Mali, Bamako, Mali.
²Service of Anesthesia and Resuscitation of Hôpital du Mali, Bamako, Mali.
³Service of Gynecology-Obstetrics CHU Point G, Bamako, Mali.
⁴Service of Pediatric of Hôpital du Mali, Bamako, Mali.
⁵Service of Medical Imaging of Hôpital du Mali, Bamako, Mali.
⁶Service of Gynecology-Obstetrics CHU Gabriel Toure, Bamako, Mali.

Artificial induction of labor (AIL) is the set of techniques intended to induce childbirth in order to reduce maternal-fetal mortality. The aim of this paper was to study the maternal and fetal prognosis after the artificial induction of labor with misoprostol. It was a descriptive prospective study conducted from September 1, 2018 to February 28, 2019 at the maternity unit of the Referral Health Center (RHC) in commune I of Bamako. It was about any pregnant woman at term who had received misoprostol as part of the artificial induction of labor. 102 cases of artificial induction with misoprostol 200 μg were collected out of 3641 deliveries, or a frequency of 2.8%. The age group 28 - 32 years accounted for 56.86% with an average age of 28.8 years. Multiparous represented 54.90% of the number. The history of diabetes and hypertension involved 37.25% of the pregnant women. The main indication was premature rupture of membranes (PRM) (40.2%). Induction was performed between the 37^th and 41^st week of amenorrhea (69.6%). The trigger index according to BISHOP was greater than 7 (50.98%). Induction was done only with 3/4 of misoprostol tablet 200 μg (43.14%). The average labor time was 7 hours (89.22%). The vaginal birth concerned 92.16% of pregnant women. An APGAR10 was noted in 97.85% of newborns after 05 minutes. AIL with misoprostol was practiced at the Center. The main indication was the premature rupture of the membranes. It improves the maternal and fetal prognosis.

Induction, Misoprostol, Maternal and Fetal Prognosis, Commune I

Coulibaly, M. , Traoré, A. , Camara, M. , Sima, M. , Kané, B. , Tembiné, K. , Tégueté, I. and Traoré, Y. (2021) Artificial Induction of Labor with Misoprostol: Maternal and Fetal Prognosis at the Referral Health Center of Commune I of the District of Bamako. Open Journal of Obstetrics and Gynecology, 11, 70-79. doi: 10.4236/ojog.2021.112009.