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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Misoprostol for induction of labour: A survey of attitude and practice in southwestern Nigeria
Archives of Gynecology and Obstetrics, Volume 278, No. 4, Year 2008
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Description
Background: Although supported by research evidence, misoprostol for induction of labour remains contentious. Objective: To assess perception and practice of obstetricians regarding use of misoprostol for labour induction. Methodology: Cross-sectional questionnaire-based survey of Senior Registrars and Consultant Obstetricians in southwestern Nigeria. Results: One hundred and six questionnaires were completed (52.8% Consultants; 47.2% Senior Registrars). Most respondents (96, 90.6%) employ misoprostol for induction in both live and dead fetuses with majority having personally prescribed misoprostol for cervical ripening or induction of labour (97.2 and 79.3%, respectively). Fetal tachycardia, hyperstimulation and ruptured uterus were the commonly reported complications. Twenty-six respondents (24.5%) reported being aware of maternal death in relation to misoprostol use. Only 52.9% of the respondents have protocols guiding misoprostol use in their hospitals. More than half of respondents administer misoprostol 50 μg or higher 6 hourly. Most (92, 87.6%) believe that research evidence backs use of misoprostol for the indication; 89.5% of respondents support use of misoprostol. Most respondents (90, 86.5%) disagree with the notion that misoprostol is too dangerous for induction; only 26 respondents (25.1%) considered oxytocin a better choice for induction; 93 respondents (88.6%) agreed that, given cautious use, misoprostol is safe for induction, while 86 respondents (81.9%) considered misoprostol a cost-effective intervention for labour induction in developing countries. Though senior registrars and younger consultants tended to report side effects more frequently than older consultants, they were more likely to support misoprostol for induction of labour than older consultants. This differences were however not statistically significant (P > 0.05). Conclusion: Misoprostol is widely utilized by obstetricians for induction of labour in southwestern Nigeria. Fetal and maternal side effects are commonly experienced. We recommend urgent adoption of evidence-based guidelines in every unit using the drug to prevent complications. © 2008 Springer-Verlag.
Authors & Co-Authors
Fawole, Adeniran Olubukola
Nigeria, Ibadan
University College Hospital, Ibadan
Adegbola, Omololu
Nigeria, Lagos
University of Lagos
Adeyemi, Adewale Samson
Nigeria, Osogbo
Lautech Teaching Hospital
Oladapo, Olufemi Taiwo
Nigeria, Ago-iwoye
Olabisi Onabanjo University
Alao, Moses O.
Nigeria
Federal Medical Centre Nigeria
Statistics
Citations: 9
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1007/s00404-008-0584-9
ISSN:
09320067
Research Areas
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Nigeria