dc.contributor.author | Osewe, Edward | |
dc.date.accessioned | 2013-06-07T14:32:10Z | |
dc.date.issued | 2003-11 | |
dc.identifier.citation | Degree of Master of Medicine in Obstetrics and Gynaecology | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/30210 | |
dc.description | In part fulfillment for examination of Masters Of
Medicine
In
Obstetrics and Gynaecology
Of the
University Of Nairobi | en |
dc.description.abstract | In this single blinded randomised clinical trial, 104 expectant clients were randomised
to either receive Misoprostol or Dinoprostone per vaginum for induction of labour.
The outcome indicators were amount of drug used, failure of induction, and duration
from insertion of the drug to delivery, amount of blood loss during labour,
complications of labour and foetal outcome of labour.
The amount of drug used was less in the Misoprostol compared with Dinoprostone
group (e.g. for 2 insertion, it was 38.5% Vs 25% respectively T value 1.172 Range
±0.235)
Failure rate of induction was 11.5% Vs 1.9% for the respective arms (Dinoprostone
Vs Misoprostol). The chi-squared value being 0.41 expected value 0.05. this was
significant.
The duration of labour was also shorter for Misoprostol than Dinoprostone with
78.8% Vs 40.4% delivering within the 1st twelve hours. The duration between 12-24
hours were 21.2% Vs 58.8% which was significant giving a test statistic of 1.037
which fell outside the critical value of ±0.597, level of significance being 0.05.
There was also less blood loss and fetal complications. The mode of delivery and
fetal outcome were comparable in both arms. | en |
dc.language.iso | en | en |
dc.title | Case records and commentaries in Obstetrics and Gynaecology | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.embargo.terms | 6 months | en |
local.publisher | Department of Obstetrics and Gynaecology | en |