Objective of this study was to achieve a safe vaginal delivery of patients with post datism by induction of labour. We sought to compare the efficacy and safety of oral misoprostol with vaginal misoprostol. 100 patients with post datism for induction of labour were divided into oral and vaginal group equally. Both the groups received 25mcg of misoprostol every 4 th hrly, either orally with wate...

IntrOductIOn Induction of labour is defined as stimulation of uterine contractions before they occur spontaneously and its prevalence has increased in the United States from 9.5% of births in 1990 to 22.1% of births in 2004 [1]. Although induction of labour has recently been on the rise for purposes of convenience or to accommodate busy schedules, the main reasons include prolonged pregnancies ...

Objective: The objectives of this review were to identify the predictive factors of induction of labor (IOL) failure or success as well as to highlight the current heterogeneity regarding the definition and diagnosis of failed IOL. Materials and Methods: Only studies in which the main or secondary outcome was failed IOL, defined as not entering the active phase of labor after 24 h of prostaglan...

Uterine rupture is the most serious complication for women undergoing trial of labor (TOL) after prior cesarean delivery. While rates of uterine rupture vary significantly according to a variety of clinically associated risk factors, the absolute risk for this complication ranges between 0.5 and 4 percent. Previous vaginal delivery and prior successful vaginal birth after cesarean delivery conf...

OBJECTIVE To assess the factors associated with failed induction of labour (IOL) in a secondary care hospital. METHOD This is a retrospective cross sectional study on women admitted for labour induction in Aga Khan Hospital for women Karimabad from 1st Jan, 2009 to 31st Dec, 2009. Induction was considered successful if the patient delivered vaginally and failed if it ended up in Caesarean Sec...

OBJECTIVE To quantify the impact of labor induction and maternal age on cesarean delivery rates in nulliparous and multiparous women between 36 and 42 weeks' gestation. METHODS We performed a retrospective cohort study on 14,409 women delivering at two teaching hospitals in metropolitan Boston during 1998 and 1999. Women who had contraindications to labor, including a prior cesarean delivery,...

In the 1964 article "Pelvic Scoring for Elective Induction," obstetrician Edward Bishop describes his method to determine whether a doctor should induce labor, or artificially start the birthing process, in a pregnant woman. Aside from medical emergencies, a woman can elect to induce labor to choose when she gives birth and have a shorter than normal labor. The 1964 publication followed an earl...

OBJECTIVE To estimate the effect of coitus on the onset of labor. METHODS Women with a nonurgent labor induction at term were recruited. Women randomly assigned to the advised-coitus group were encouraged to have sex to promote the onset of labor. Controls were neither encouraged nor discouraged regarding coitus. Participants kept a coital and orgasm diary until delivery, and standard obstetr...

OBJECTIVE To determine the benefit of membrane sweeping at initiation of labor induction in conjunction with formal methods of labor induction. METHODS Two hundred seventy-four women at term with a singleton fetus in cephalic presentation and intact membranes were randomly assigned to receive membrane sweeping or no membrane sweeping at initiation of formal labor induction with either dinopro...

CONTEXT Misoprostol, a synthetic E1 methyl analog prostaglandin, is at present receiving attention as a cervical modifier and labor induction agent. However, there is still a need for better determination of its safety and effectiveness. OBJECTIVE To compare intravaginal misoprostol versus intravenous oxytocin for cervical ripening and labor induction in pregnant women with unripe cervices. ...