000			03213cam a2200325 a 4500
003			EG-GiCUC
008			201004s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.15.M.Sc.2020.Mo.C
100	0		_aMohamed Aziz Ahmed Zehry
245	1	0	_aComparative study between vaginal misoprostol alone ــ a and the combination of vaginal misoprostol with isosorbide mononitrate in induction of labor in primiparas with premature rupture of membranes and low bishop / _cMohamed Aziz Ahmed Zehry ; Supervised Gamal Gamal Youssef , Mona Fouad Ahmed , Mohamed Ahmed Bahaa
246	1	5	_aدراسة مقارنة بين الميزوبروستول المهبلى وحده والجمع بين الميزوبروستول المهبلي والايزوسوربيد مونونيترات المهبلى فى تحريض المخاض في السيدات اللاتي يلدن لأول مره مع تمزق الأغشية قبل الأوان وحرز بيشوب لعنق الرحم منخفض
260			_aCairo : _bMohamed Aziz Ahmed Zehry , _c2020
300			_a85 P. : _bcharts , facimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics
520			_aObjectives The aim of the study is to compare misoprostol alone and the combination of misoprostol and isosorbidemononitrate for induction of labour in pregnant females with PROM regarding efficacy, safety, maternal and fetal outcomes. Methods A total of 100 women diagnosed with PROM were enrolled prospectively, all of those patients presented during the period of September 2019 till March 2020 to Kasr-Al Ainy Obstetrics emergency department , divided into 2 equal groups: group A who was offered induction of labour by administration of 25 ugs of vaginal misoprostol alone and group B who was offered induction of labour by administration of 25 ugs of vaginal misoprostol and 40 mg of isosorbidemononitrate, in both groups the following was studied: Induction to onset of labour time, induction to delivery time, failure of induction due to maternal or fetal cause, need for augmentation of labour by oxytocin and recording any maternal or fetal morbidity. Results Our results showed highly statistically significant difference between both groups regarding induction to onset of labour time with shorter time in group B, the needed number of doses of misoprostol were significantly higher in group A compared to group B (P- value = 0.001), the need for augmenation by oxytocin was significantly lower in group B (P-value >0.001). On the other hand, there were no statistically significant differences between both groups regarding failure of induction, mode of delivery and the incidence of fetal or maternal morbidity
530			_aIssued also as CD
653		4	_aInduction of labour
653		4	_aMisoprotol
653		4	_aProstaglandins
700	0		_aGamal Gamal Youssef , _eSupervisor
700	0		_aMohamed Ahmed Bahaa , _eSupervisor
700	0		_aMona Fouad Ahmed , _eSupervisor
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c78054 _d78054