Full Report - Research for Development - Department for ...
Full Report - Research for Development - Department for ...
Full Report - Research for Development - Department for ...
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Tukur (2010)<br />
(-)/(-)<br />
Women with<br />
eclampsia<br />
Labour (including induction)<br />
Abdul (2007)<br />
(-)/(+)<br />
Bergsjo<br />
(1989)<br />
(-)/(-)<br />
Women needing<br />
induction<br />
Women with<br />
uncomplicated<br />
pregnancies going<br />
beyond 42 weeks<br />
gestation<br />
Magnesium sulphate was administered<br />
following the Zuspan regimen (in which the<br />
maintenance doses are given<br />
intravenously).<br />
Induction of labour by misoprostol<br />
(intravaginal 50 microg. 6-hourly to a<br />
maximum of four doses) or oxytocin<br />
(maximum of 48 iu/min).<br />
Induction of labour by stripping of<br />
membranes and intravenous. oxytocin<br />
infusion, with artificial rupture of<br />
membranes when the cervical opening was<br />
3 cm or more in diameter. The control<br />
group was followed with clinical,<br />
biochemical and electronic tests,<br />
intervention being applied according to<br />
needs.<br />
Maternal<br />
mortality<br />
Perinatal<br />
mortality<br />
Maternal<br />
mortality<br />
Stillbirth<br />
Neonatal<br />
mortality<br />
Appendix 4.1<br />
This study is in support of the findings<br />
that magnesium sulphate is superior to<br />
diazepam in the reduction of maternal<br />
morbidity and mortality. However, the<br />
benefit to the infant was not<br />
statistically significant.<br />
No case of maternal mortality was<br />
recorded. The efficacy of misoprostol in<br />
the induction of third trimester labour is<br />
comparable to oxytocin.<br />
Maternal complications and perinatal<br />
morbidity rates were equally distributed<br />
between the groups. There was one<br />
perinatal death in the induction group<br />
and two deaths among the controls. No<br />
advantage of induction shown.<br />
What are the effects of different models of delivery <strong>for</strong> improving maternal and infant health outcomes <strong>for</strong> poor people in urban areas in low income<br />
and lower middle income countries?<br />
198