Journal of Postgraduate Medicine, Education and Research

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VOLUME 48 , ISSUE 1 ( January-March, 2014 ) > List of Articles

RESEARCH ARTICLE

Sublingual vs Oral Misoprostol for Labor Induction

Sujata Siwatch, Goter Doke

Citation Information : Siwatch S, Doke G. Sublingual vs Oral Misoprostol for Labor Induction. J Postgrad Med Edu Res 2014; 48 (1):33-36.

DOI: 10.5005/jp-journals-10028-1097

Published Online: 00-03-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

This study compares the eficacy and safety of sublingual vs oral misoprostol for induction of labor.

Materials and methods

160 women admitted for induction of labor at the Postgraduate Institute of Medical Education and Research, Chandigarh were randomized to receive 25 µg misoprostol orally 3 hourly or 25 µg sublingual misoprostol 4 hourly for labor induction.

Outcome

The two groups were compared for number of women not delivered in 24 hours, misoprostol dose required, induction delivery interval, incidence of uterine contraction abnormalities, mode of delivery, side effects and neonatal outcomes.

Results

Low dose of misoprostol is eficacious with both routes of administration. Majority women delivered vaginally and of them, comparable numbers in both vaginal and sublingual misoprostol groups delivered within 24 hours of induction (93.1 and 83.7%). The sublingual route is associated with a statistically signiicant lesser induction to delivery interval (14.8 ± 6.2 hours vs 17.67 ± 7.32 hours) and lesser requirement of oxytocin augmentation (62.5 vs 35%). The occurrence of uterine contraction abnormalities and neonatal outcome was similar in both groups.

Conclusion

The low dose of 25 µg is eficacious and safe by both sublingual and oral routes. Sublingual route has lesser induction to delivery interval and lesser requirement for oxytocin augmentation.

How to cite this article

Siwatch S, Doke G, Kalra J Bagga R. Sublingual vs Oral Misoprostol for Labor Induction. J Postgrad Med Edu Res 2014;48(1):33-36.


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