THE EFFECTIVENESS OF VAGINAL MISOPROSTOL AND INTRACERVICAL CATHETERIZATION IN INDUCING LABOUR IN CASES OF INTRAUTERINE FETAL MORTALITY

Objective The present study aims at the evaluation The Effectiveness of Vaginal Misoprostol and intracervical Catheterization in Inducing Labour in cases of Intrauterine Fetal Mortality Study design: A randomized controlled trial study. Place and Duration: This study was Conducted in Shaikh Zaid Women Hospital @ Shaheed Muhtarma Benazir Bhutto Medical University Larkana Pakistan. for period of one years from  January 2024 to January 2025 Methodology This was a randomized controlled trial study. Using non-probability consecutive sampling, 120 pregnant women who were pregnant with confirmed IUFD were enrolled. Participants were randomly assigned into two groups: Group A received intracervical catheterization, and Group B was administered vaginal misoprostol. Vaginal delivery within 12 hours of catheterization and within 24 hours of misoprostol was considered a successful induction. Results IBM SPSS version 26 was used for data analysis. The effectiveness difference between the two groups was evaluated using the Chi-square test, with a significance level of p < 0.05. Participants were between the ages of 20 and 40. Group A and Group B had mean ages of 28.64 ± 2.36 and 28.42 ± 2.95 years, respectively. 52 women (86.7%) in Group A and 36 women (60%) in Group B were successfully inducted, indicating a statistically significant difference (p = 0.019). Conclusion Intracervical catheterization seems to be more effective compared to vaginal misoprostol for labor induction in cases of intrauterine fetal death.