Maternal and Perinatal Prognosis of Artificial Induction of Labor with Misoprostol at the Reference Health Center of Commune 2 in Mali  

作　　者：Tidiani Traoré Seydou Z. Dao Seydou Traoré Adoul Azize Togo Bakary Abou Traoré Ahmadou Coulibaly Ibrahim Ousmane Kanté Kassoum Sidibé Thierno Boubacar Bagayoko Alpha Sanogo Famakan Kané Adama Bah Ibrahima Donigolo Babou Traoré Adama Coulibaly Abdrahamane Diarisso Youssouf Traoré Ibrahima Teguété Augustin Tiongani Théra Tidiani Traoré;Seydou Z. Dao;Seydou Traoré;Adoul Azize Togo;Bakary Abou Traoré;Ahmadou Coulibaly;Ibrahim Ousmane Kanté;Kassoum Sidibé;Thierno Boubacar Bagayoko;Alpha Sanogo;Famakan Kané;Adama Bah;Ibrahima Donigolo;Babou Traoré;Adama Coulibaly;Abdrahamane Diarisso;Youssouf Traoré;Ibrahima Teguété;Augustin Tiongani Théra(Nianankoro Fomba Hospital, Ségou, Mali;Common Reference Health Center II, Bamako, Mali;Koutiala Reference Health Center, Koutiala, Mali;Point G University Hospital Center, Bamako, Mali;Bla Reference Health Center, Bla, Mali;Center Hospitalier Universitaire Gabriel Touré, Bamako, Mali)

机构地区：[1]Nianankoro Fomba Hospital, Ségou, Mali [2]Common Reference Health Center II, Bamako, Mali [3]Koutiala Reference Health Center, Koutiala, Mali [4]Point G University Hospital Center, Bamako, Mali [5]Bla Reference Health Center, Bla, Mali [6]Center Hospitalier Universitaire Gabriel Touré, Bamako, Mali

出　　处：《Open Journal of Obstetrics and Gynecology》2022年第4期267-275,共9页妇产科期刊（英文）

摘　　要：Introduction: The artificial induction of labor is increasingly common. Objective: Evaluate the maternal-fetal prognosis of artificial induction with misoprostol at the referral health center of the commune II. Methods: This is a cross-sectional, prospective, descriptive and analytical study which took place from September 1, 2019 to December 31, 2020. Included in the study were pregnant women carrying an evolving or terminated single-fetal pregnancy of at least 28 WA in cephalic presentation on a healthy uterus. The trigger has been made with 50 μg misoprostol administered sublingually into the posterior vaginal fornix. The dose was renewed as needed every 6 hours, until sufficient uterine contractions were obtained without exceeding 200 μg. Results: The frequency of artificial induction of labor was 1.25%. Indications were dominated by premature rupture of membranes (29.8%), overdue (19.1%), high blood pressure (19.1%), suitability of pregnant women (14.9%) and terminated pregnancies (10.6%). The vaginal delivery rate was 85.1% The Apgar score was greater than or equal to 7 in 83.3% of cases at the 1stminute. Maternal morbidity was marked by postpartum hemorrhage due to uterine atony in 4.3% cases. No maternal and neonatal deaths were noted. Conclusion: Induction of labor with misoprostol is a safe and effective method if careful selection of patients is made.Introduction: The artificial induction of labor is increasingly common. Objective: Evaluate the maternal-fetal prognosis of artificial induction with misoprostol at the referral health center of the commune II. Methods: This is a cross-sectional, prospective, descriptive and analytical study which took place from September 1, 2019 to December 31, 2020. Included in the study were pregnant women carrying an evolving or terminated single-fetal pregnancy of at least 28 WA in cephalic presentation on a healthy uterus. The trigger has been made with 50 μg misoprostol administered sublingually into the posterior vaginal fornix. The dose was renewed as needed every 6 hours, until sufficient uterine contractions were obtained without exceeding 200 μg. Results: The frequency of artificial induction of labor was 1.25%. Indications were dominated by premature rupture of membranes (29.8%), overdue (19.1%), high blood pressure (19.1%), suitability of pregnant women (14.9%) and terminated pregnancies (10.6%). The vaginal delivery rate was 85.1% The Apgar score was greater than or equal to 7 in 83.3% of cases at the 1stminute. Maternal morbidity was marked by postpartum hemorrhage due to uterine atony in 4.3% cases. No maternal and neonatal deaths were noted. Conclusion: Induction of labor with misoprostol is a safe and effective method if careful selection of patients is made.

关 键 词：CHILDBIRTH INDUCTION Artificial MISOPROSTOL Prognosis 

分 类 号：R16[医药卫生—公共卫生与预防医学]