THE INFLUENCE OF METHODS OF LABOUR INDUCTION ON MATERNAL AND PERINATAL OUTCOMES
This article presents the results of research conducted on the basis of the Perinatal Center of Semey, in accordance with the implementation in practice of diagnosis and treatment protocols of the Ministry of Health and Social Development of the Republic of Kazakhstan on the use of methods of labor induction with a view of early delivery. The aim of the study is to investigate the presence or absence of the influence methods of labor induction on maternal outcomes, namely, the presence or absence of complications of childbirth and the postpartum period, and perinatal outcomes, namely, the presence or absence of fetal asphyxia. To achieve this goal, the authors held controlled clinical trial which includes performance of labor induction by vaginal and oral misoprostol and oxytocin intravenous infusion. This article contains reliable data on the influence of methods of induction of labor on maternal and perinatal outcomes of childbirth. Materials were the stories of women’s delivery acts who were delivered in Perinatal Centre in Semey for the period January-December 2014 by labor induction. Inclusion criteria were the singleton births in the period from 22 to 42 weeks in the occipital fetal presentation. Exclusion criteria were multiple births, prenatal death of fetal, pelvic and other presentation of fetal, other than the occipital, childbirth with an uterine scar, operational delivery. The research allowed authors to make a conclution of absence of the influence of methods of labor induction on the development of complications of childbirth (p = 0,115) and of significant influence on the methods of labor induction on perinatal outcomes (p = 0,0021). Furthermore, more rapid development of generic activity in oral administration of misoprostol, unlike intravaginal administration was found (p = 0.001). The practical significance of this study will allow us to introduce methods of labor induction into practice more actively, in accordance with the diagnostic and treatment protocols, as well as use peroral route more intensive to accelerate the development of childbirth.
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Beksultanova M. U., Tanysheva G. A., Kinayatova Sh. K. The influence of methods of labour induction on maternal and perinatal outcomes. Nauka i Zdravoohranenie [Science & Healthcare]. 2015, 5, pp. 42-51.Related publications:
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