The Effectiveness of Vaginal Misoprostol and Intracervical Catheterization in Inducing Labour in cases of Intrauterine Fetal Mortality

Abstract

Objective: To compare the efficacy of intracervical catheterization and vaginal misoprostol in the induction of labour in intra-uterine fetal death.

Methodology: This is a randomized controlled trial study was conducted from 10th January 2021 to 10th July 2021. The sample was gathered via non-probability consecutive sampling. The study comprised sixty pregnant mothers who had experienced intrauterine fetal mortality. There are two groups of patients: one for intracervical catheterization and the other for vaginal misoprostol. Both groups' vaginal deliveries occurred within 24 hours of vaginal misoprostol administration and 12 hours of intracervical catheterization, demonstrating their efficacy.

Results: A statistical analysis program (IBM-SPSS version 22) was used to analyze the data. The efficacy in both groups was compared using Chi-square test, with p ≤ 0.05 being considered significant. The study's age range was 18 to 40 years, with Group A's mean age of 27.866±2.66 years and Group B's mean age of 28.166±2.69 years. 26 (86.7%) patients in group A and 18 (60%) patients in group B showed efficacy (P= 0.019).

Conclusion: In conclusion, intracervical catheterization proved to be more successful in inducing labour in cases of intrauterine fetal mortality than vaginal misoprostol in this regard.