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Ouerdiane N, Tlili N, Othmani K, Daaloul W, Masmoudi A, Hamouda SB, Bouguerra B. [Induction of labour at term with misoprostol: the experience of a Tunisian maternity ward]. Pan Afr Med J 2016; 24:28. [PMID: 27583092 PMCID: PMC4992371 DOI: 10.11604/pamj.2016.24.28.8141] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 03/28/2016] [Indexed: 11/11/2022] Open
Abstract
To evaluate the efficacy and safety of vaginal misoprostol for term labour induction. A prospective study conducted at the Department of Obstetrics and Gynecology B of hospital Charles Nicolle, Tunis, over a period of 4 months. The group of subjects, selected to represent the population of interest, were pregnant patients at term undergoing cervical ripening. Patients received 50 mcg vaginal misoprostol every 12 hours. The parameters studied were: contractile abnormalities, abnormalities of fetal heart rate (FHR), mode of delivery, delayed delivery and neonatal status. 44 patients underwent cervical ripening with misoprostol. The average term was 40 WA. Nulliparous rate was 23/44 (52%). Vaginal birth rate was 31/44 (70.4%). 84% of patients received a single dose of misoprostol. FHR abnormalities were observed in 14/44 (32%). The rates of meconium-stained amniotic fluid was 12/44 (27%). Apgar score of less than 7 at 5 minutes was found in 7/44 (16%). A case of uterine rupture occurred in a primipara after a single dose of misoprostol. Our results are disappointing due to the occurrence of 1 uterine rupture and of 1 significant neonatal morbidity. Other multicentre prospective studies will be useful to better ensure the effectiveness but primarily the safety of low-dose misoprostol for induction of labour at term.
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Affiliation(s)
- Nadia Ouerdiane
- Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie
| | - Nihel Tlili
- Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie
| | - Kaouther Othmani
- Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie
| | - Walid Daaloul
- Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie
| | - Abdelwaheb Masmoudi
- Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie
| | - Sonia Ben Hamouda
- Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie
| | - Badreddine Bouguerra
- Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie
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Bel S, Gaudineau A, Zorgnotti L, Sananes N, Fritz G, Langer B. Enquête sur les pratiques de maturation cervicale en France. ACTA ACUST UNITED AC 2014; 42:301-5. [DOI: 10.1016/j.gyobfe.2013.11.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2012] [Indexed: 11/15/2022]
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Gaudineau A, Vayssière C. Maturation cervicale par misoprostol sur fœtus viable. ACTA ACUST UNITED AC 2014; 43:169-78. [DOI: 10.1016/j.jgyn.2013.11.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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