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Date
2001-05Author
Onyambu, Barcley
Type
ThesisLanguage
enMetadata
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In these study obstetric records of 144 parturiens induced with
Prostaglandin E2 pessaries (3mg), either singly or in combination with
amniotomy and/or syntocinon were reviewed. The labour induction rate by
this method was 8 per cent. 68.1 per cent required only one pessary, 20.1/0
required two pessaries and 11.8 /0 required three pessaries. The duration of
labour ,estimated from the onset of significant uterine contractions and
cervical dilatation of at least 3cm, was longest with parturens receiving 3
pessaries (mean- - 405 mins ) and shortest with those requiring only one
pessary (mean - 311 mins ). The partureins parity was the most influencial
factor on the number of pessaries required to induce labour in this study.
The Bishop score was not assessed because of unavailability of adequate
records. The mean parity of those requiring one pessary was 1.3 and for
those requiring 2 and 3 pessaries the mean was 0.8 and 0.9 respectively
( significance - 0.05). The overall Caesarean Section rate for patient in this
study was 21.5 per cent. After insertion of 3 pessaries the rate was 64.7
per cent. With 1 and 2 pessaries the rate was 15.3 and 17.2 per cent
respectively.
Citation
Degree of Master of Medicine in Obstetrics and GynaecologyPublisher
Department of Obstetrics and Gynaecology
Description
Thesis submitted for examination of Masters Of
Medicine
In
Obstetrics and Gynaecology
Of the
University Of Nairobi (Kenya