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11461

Effect of Intramuscular Administration of Dexamethasone on the Duration of Labor Induction

Article

Last updated: 03 Jan 2025

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Abstract

Background: induction of labor is a common obstetric procedure which is performed for a variety of medical and non-medical indications. If the cervix is unfavourable, prior ripening of the cervix makes induction of labor easier and more succeful. There are different methods for ripening of the cervix and making it ready for induction. These methods included medical methods such as the administration of prostaglandins, and mechanical methods such as extra amniotic saline infusion, traction on the cervix with Foley catheter and laminaria. Aim of the Work: the aim of the study is to evaluate the efficacy of intramuscular dexamethazone injection prior to induction in improving progression and duration of labour phases. Patients and Methods: this study started with 100 Nulliparous Pregnant women who were conducted at the labor wards of Ain Shams Maternity Hospital. The studied subjects were randomized into two groups: Dexamethasone group: This group included 50 Nulliparous women (N=50), called A group.  Control group: This group included 50 Nulliparous woman (N=50), called B group. Results: in this study the duration of active and second stages was decreased without change on mode of delivery. The study no significant statistical differences between the two studied groups as regards fetal heart rate. The duration of second stage in dexamethasone group was shorter than in the control group. Dexamethasone intramuscularly prior to induction significantly shortens duration of normal labor in normal parturants with minimal complications. Conclusion: an intramuscular injection of dexamethasone before labor induction is found to shorten the duration of labor induction by decreasing the interval between the initiation of induction and the beginning of the active phase, duration of active phase and duration of second stage of labor with no observed maternal or neonatal complications.

DOI

10.21608/ejhm.2018.11461

Keywords

Dexamethazone injection, Duration of labour phases

Authors

First Name

Mohammed Abd-Allah

Last Name

Elmaraghy

MiddleName

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Affiliation

Department of Obstetrics and Gynaecology, Faculty of Medicine - Ain Shams University

Email

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City

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Orcid

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First Name

Tamer

Last Name

El Refaie

MiddleName

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Affiliation

Department of Obstetrics and Gynaecology, Faculty of Medicine - Ain Shams University

Email

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City

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Orcid

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First Name

Kareem Mohamed

Last Name

Labib

MiddleName

-

Affiliation

Department of Obstetrics and Gynaecology, Faculty of Medicine - Ain Shams University

Email

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City

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Orcid

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First Name

Marwa Gamal

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Obstetrics and Gynaecology, Faculty of Medicine - Ain Shams University

Email

marwa_prof_med@yahoo.com

City

-

Orcid

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Volume

72

Article Issue

11

Related Issue

2148

Issue Date

2018-07-01

Receive Date

2018-08-23

Publish Date

2018-07-01

Page Start

5,540

Page End

5,546

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11461.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=11461

Order

4

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Intramuscular Administration of Dexamethasone on the Duration of Labor Induction

Details

Type

Article

Created At

22 Jan 2023