55158

Role of dexamethazone on cervical ripening and induction of labor in term pregnancy

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Obstetrics & Gynaecology

Abstract

Background: labor induction between 41 and 42 weeks of gestation reduce the adverse perinatal risks. Aim of work: to determine the effect of intravenous dexamethazone administration on preparing the cervix and duration of labor induction in term pregnancy. Patients and Methods: this randomized Case control study on 52 women who were primparous, with a gestational age (40- 42)weeks and had Bishop Score 4 or less, who were admitted to obstetrics and gynecology department, zagazig university hospital during period from (April 2018 – April 2019) for the termination of their pregnancy. 6 hours before induction, experimental group (26 participants) was given 8mg intravenous dexamethasone while control group (26 participants) was given 2 ml saline intravenously. Six hours after the injection, the Bishop Score of participant was measured, and labor induction done by using oxytocin. Interval between induction initiation and starting of the active labor phase, duration of first and second stage of labor and the neonatal outcome of two groups were compared. Results: Bishop Score statistically differ between the studied groups after 6 hours of dexamethasone injection (5.88±1.18, vs. 5.19±0.85 respectively). The interval between induction initiation and beginning of active labor phase was shorter in the dexamethasone group compared to control group (90±26.3 minutes vs. 112.88±48.87 minutes). Dexamethasone group has shorter duration of first stage and second stage of labor than control group. Conclusions: The administration of dexamethasone can play a role in cervical ripening and progress of labor.

DOI

10.21608/zumj.2019.17069.1526

Keywords

Dexamethason, Bishop Score, induction of labor, stages of labor, Cervical ripening

Authors

First Name

Tarek

Last Name

Saleh Zaher

MiddleName

Ahmad

Affiliation

Libya, sirt University, Faculty of Medicine, Obstetric & Gynecology department

Email

drzaher83@gmail.com

City

-

Orcid

-

First Name

Mahmoud

Last Name

Gharib

MiddleName

Ahmed

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine –Zagazig University, Zagazig, Egypt

Email

dr.mahmoudg@yahoo.com

City

-

Orcid

-

First Name

Amal

Last Name

El Saied

MiddleName

Abdelaziz

Affiliation

Professor of Obstetrics and Gynaecology, Faculty of Medicine - Zagazig University

Email

drnouhobg@hotmail.com

City

-

Orcid

-

First Name

Abdelaziz

Last Name

Amin

MiddleName

Ibrahim

Affiliation

Lecturer of Obstetrics and Gynaecology, Faculty of Medicine - Zagazig University

Email

abdelazizamin@yahoo.com

City

-

Orcid

-

Volume

27

Article Issue

6

Related Issue

28516

Issue Date

2021-11-01

Receive Date

2019-09-29

Publish Date

2021-11-01

Page Start

1,518

Page End

1,523

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_55158.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=55158

Order

277

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Role of dexamethazone on cervical ripening and induction of labor in term pregnancy

Details

Type

Article

Created At

22 Jan 2023