The effect of Hyoscine Butylbromide on the rate of vaginal delivery in cases of secondary arrest of cervical dilatation : A Randomized Controlled clinical Trial

Abstract

This is a randomized controlled trial in which, the aim was to assess whether the intravenous injection of 40 mg hyoscine butylbromide is effective in progress of labor in cases with 2ry arrest of cervical dilatation. The study included 100 pregnant women (PG, P1, P2, P3) conducted at Ain Shams University Maternity Hospital, the inclusion Criteria were: term uncomplicated singleton pregnancy in a spontaneous active labor, with cephalic presentation. The patient must be free from any medical disorder associated with pregnancy and free from any obstetric complication. Cases were subdivided into 2 groups: • Study group: 50 patients received 40mg iv Hyoscine Butylbromide (as Buscopan 20mg\ml) when the cervix >4cm dilated and was >50% effaced. • Control group: 50 patients received 2ml saline as placebo. Every patient was subjected to: Complete history taking, general examination, obstetric abdominal examination and vaginal examination including cervical dilation, effacement and position, state of fetal membranes, presenting part, position of fetal head, color of liquor and pelvic adequacy.