Abstract
We undertook this study in order to compare the efficacy of 25 µg versus 50 µg of intravaginal misoprostol for cervical ripening and labour induction at term. The study population consisted of 120 women with term singleton pregnancies in vertex presentation booked for caesarean section. They had a Bishop scoring of <6 and a reactive fetal heart rate tracing. They were randomized into two groups, A and B, to receive 25 µg and 50 µg of vaginal misoprostol, respectively, 4 hourly with a maximum of five doses until the patient had three contractions in 10 minutes. There was no significant difference in the induction delivery interval between the two groups (12.52± 7.05 h in the 25 µg group versus 11.72± 6.74 h in the 50 µg group; P = 0.58). Of the women in the 25 µg group, 83.3% delivered vaginally as did 71.67% of those in the 50 µg group, but the difference was not statistically significant (P = 0.128). There were significantly more women requiring oxytocin augmentation in the 25 µg group than in the 50 µg group (P = 0.03). However, there were no significant differences in the rates of caesarean and operative vaginal delivery, meconium stained liquor, fetal distress or in the incidences of hyperstimulation between the two groups. Neonatal outcomes were similar. The intravaginal administrations of 25 µg, as well as 50 µg of misprostol, are equally efficacious in inducing labour. The 25 µg group more often required oxytocin as an adjunct.
Get full access to this article
View all access options for this article.