الفهرس 
Aim of the workOnly 14 pages are availabe for public view
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Abstract
IOL is the process by which uterine contractions are initiated by
medical or surgical means (iatrogenic stimulation) before the onset of
spontaneous Labour .
The aim of successful induction of Labour is to achieve vaginal
delivery when continuation of pregnancy presents a threat to the life or
wellbeing of the mother or fetus. The process of induction of Labour
should only be considered when vaginal delivery is felt to be the
appropriate route of delivery .
Methods for cervical ripening and induction of Labour
1) Pharmacologic agents available for cervical ripening and Labour
induction include prostaglandins, mifepristone and relaxin. When
the Bishop score is favourable, the preferred pharmacological agent
is oxytocin.
2) Non pharmacologic approaches to cervical ripening and Labour
induction have included herbal compounds, castor oil, hot baths,
enemas ,sexual intercourse, breast stimulation, acupuncture,
acupressure, transcutaneous nerve stimulation and mechanical and
surgical Modalities. Of these non-pharmacologic methods, only the
mechanical and surgical methods have proven efficacy for cervical
ripening or induction of Labour.
Aim of this study was to compare between the effectiveness and
safety of early versus delayed amniotomy after vaginal misoprostol for
the induction of Labour in nullipara.
This randomized trial was carried out at Department of Obstetrics&
Gynecology, Menoufia University Hospital and Quesna Emergency
Hospital from November 2017 to august 2018.