title: Pregnancy outcome following induction of labor with intravaginal misoprostol for decreased fetal movements at term.
abstract: OBJECTIVE
  To determine the outcome of labor induction with intravaginal misoprostol among women with perception of persistent decrease in fetal movements at term.
  
  
  METHODS
  The study group comprising 107 women who had induction of labor at term for primary complaint of decreased fetal movements (DFM) were compared with equal number of women who had induction for prolong pregnancy in a university teaching hospital.
  
  
  RESULTS
  Caesarean section rate (39.3% vs. 22.4%, P < 0.001) and birthweight less than 2500 g (11.2% vs. 2.8%, P = 0.02) were significantly higher in the DFM group with the leading indication for caesarean delivery being nonreassuring fetal heart rate. Also, the incidence of 5-min Apgar score <7 were significantly lower among women in the DFM group. However, there was no difference in neonatal unit admission. There was no case of early neonatal death in both groups of women.
  
  
  CONCLUSIONS
  Intravaginal misoprostol for labor induction is a safe delivery option for women with perception of DFM with reassuring nonstress test. Since all cases with persistent decrease in fetal movements had reassuring nonstress test, the reduction in fetal movements was most likely due to altered perception.
authors.affiliation: Department of Obsterics & Gynaecology, University of Benin Teaching Hospital, Ugbowo, Benin City, Nigeria. nelsonabiodun@yahoo.com
authors.forename: Biodun Nelson
authors.initials: BN
authors.lastname: Olagbuji
authors.forename: Michael Chudi
authors.initials: MC
authors.lastname: Ezeanochie
authors.forename: Weyinmi
authors.initials: W
authors.lastname: Kubeyinje
authors.forename: Taiwo
authors.initials: T
authors.lastname: Dunsin
authors.forename: Adedapo Babatunde
authors.initials: AB
authors.lastname: Ande
mesh_terms: D000282:Administration, Intravaginal; D000328:Adult; D016022:Case-Control Studies; D005260:Female; D005324:Fetal Movement; D006801:Humans; D007751:Labor, Induced / Q000379:methods / Q000706:statistics & numerical data*; D016595:Misoprostol / Q000008:administration & dosage*; D009549:Nigeria; D010120:Oxytocics / Q000008:administration & dosage*; D011247:Pregnancy; D011256:Pregnancy Outcome
chemical_list: D010120:Oxytocics; D016595:Misoprostol