Vol. 1, Issue 11, Part P (2015)

Abstract
Aim: To compare immediate induction using prostaglandin pge2 gel versus oxytocin, Material and method: After recruitment to the study; past, present, obstetrical, menstrual history and identification data was obtained from the subjects. Detailed history regarding the leakage of the liquor and risk factor involved was taken. The period of gestation was calculated from the last date of menstrual period and was confirmed with obstetrical examination. This was followed by a thorough general clinical examination and obstetrical examination. A sterile speculum examination was performed to confirm obvious leakage of amniotic fluid. Result: In PGE2 group, 32.38% women had PROM-delivery interval of <12 hours, 50.47% of 12-24 hours and 17.14% of women had PROM-delivery interval >24hours. In oxytocin group, 33.33% women had PROM-delivery interval of <12hours, 57.77% of 12-24 hours and 8.88% women had >24 hours. Conclusion: The incidences of maternal and fetal untoward effects are similar with use of the two inducing agents, with no significant difference in induction delivery interval. Intracervical administration of PGE2 gel in a dose of 0.5mg is an effective alternative of oxytocin for labour induction at and beyond 34 weeks of gestation with pre-labour rupture of membranes.