Characteristics of Vaginal Delivery with Ripening and Intravaginal Misoprostol Induction in Sanglah General Hospital

Ripening is a cervical softening process where this process plays an essential role in cervical dilation. Meanwhile, labor induction is a process to start labor before there are signs of delivery with the help of medical pharmacology or medical action with the ultimate goal of giving birth to the baby and the placenta. Ripening and induction are urgently needed in various obstetric cases such as term pregnancy, hypertension in pregnancy, and premature rupture of membranes. Various types of induction methods can be selected according to their efficiency and safety, namely oxytocin, dinoprostone (prostaglandin E2), and misoprostol (prostaglandin E1). However, the current use of misoprostol is preferred because it is cheap, stable at room temperature, accessible storage, and easy to use for cervical ripening and labor induction. This study aimed to find out the characteristics of vaginal delivery with intravaginal misoprostol induction at Sanglah General Hospital Denpasar. This was a retrospective descriptive study involving women who delivered vaginally with intravaginal misoprostol induction in the delivery room of Sanglah General Hospital Denpasar from June 1st, 2017 to May 31st, 2019including with the sampling total. Maternal age, gestational age, parity, rupture of membranes history, pelvic score, and birth weight data were collected from medical records. The data were analyzed by using the SPSS.This study included 37 cases of vaginal misoprostol induction in Sanglah General Hospital Denpasar (60.66%) out of a total of 61 cases of labor induction. The success rate of labor induction with misoprostol was 72.97%.