International Journal of Applied Research
Vol. 1, Issue 13, Part M (2015)
Effectiveness of prostaglandin E2 gel in induction of labor among primigravida women
Background of the study: Labor induction was very safe when it was done with safe induction practices. This was suitable for the patient. Prostaglandin E2 gel was good for induction and safe to use and helps for good foetal outcome. Objective: Study done with the objectives of the efficacy Prostaglandin E2 gel for induction of labor among women and observe normal delivery outcome. Material and methods: Experimental study done to observed the Efficacy of prostaglandin E2 gel in induction of labor among primigravida women with fetal and maternal delivery outcome. Experimental group received intervention like application of Prostaglandin E2gel. In control group except NST and Application of prostaglandin E2 gel. Total 70 samples selected for the study was primigravida mothers admitted in maternity ward in both group. Mother selected as a samples with purposive sampling technique. Samples selected as per inclusion criteria primipara mothers admitted in maternity ward. Ethical permission taken from the ethical committee. Purpose of study explains to the subjects and written consent taken. Tool prepared which was in Marathi validated by experts. Tool prepared which was based on objectives of the study and it was based on structured observational schedule on efficacy of prostaglandin E2 gel and maternal and fetal outcome. Bishop Score was used to observe dilation of cervix effacement, station, consistency, and position. (Range of score was 0-13, Favourable Unfavourable score 0-5 score 6-13 Partograph used to assess graphical record of cervical dilatation and descent of head against duration of Labor in hours. Apgar score was used to assess outcome of health condition of baby. Results: Scio-demographic variables Primi gravida mothers in experimental groups Majority of women 33(94.3%) were housewife. In Control group 34(97%) were house wife Primi gravida women shows high proportion those in to experimental group (Fisher exact test P<0.001). There was significantly high proportion of women belonging to experimental group were having poor bishop score. The mean duration of first stage of labor was 5.345 ± 2.056 hrs in experimental group and in Control group 5.975 ± 1.769 it was statically not significant P=0.3055. The mean duration of 2nd stage of labor was 27.500 ± 6.177 min in experimental group and in control group 29.065 ± 14.338 min it was statically not significant P= 0.6565. Induction of delivery time was 9hrs 22 min in primi experimental group. Primi gravida experimental group failure rate of induction were 7(20%) and 25(71.42%) in control group. In maternal outcome experimental group 10 (28.6%) women and 19 (54.3%) women from control group experienced Nausea respectively P=0.0514 which was not significant. 3(8.6%) women from experimental group and 15(42.9%) women from control group experienced vomiting. p=0.0021 hence fisher exact test was significant. Conclusion: Finding of the study revealed that Efficacy of prostaglandin E2 gel was good for reduction in Labor time without any complication to baby immediate after delivery.
How to cite this article:
Seema Satve, Vandana Satave. Effectiveness of prostaglandin E2 gel in induction of labor among primigravida women. Int J Appl Res 2015;1(13):861-864.