Arshiya Sultana*, Mazherunnisa Begum, Shahzadi Sultana and Kumari Asma
Objectives: To evaluate the efficacy of polyherbal Unani formulation for cervical ripening and induction of labour Material and Methods: A prospective, study was conducted in Govt. Nizamia Tibbia Hospital, Hyderabad. Pregnant women (n=38) with gestation age of 38-42 weeks were recruited. A polyherbal Unani formulation powder of Cinnamomum tamala 3 g, Gentiana lutea 1 g, Pinus longifolia 1 g and Peganum harmala 5 g was administrated orally at an interval of 6 hours maximum of 4 doses and a pessary of Gossypium herbaceaum 2 g, Euphorbia resinifera 0.5 g and borax 3 g, was placed in the vagina at an interval of 6 hours, maximum of 4 doses. The main outcome measure was to observe mean induction to delivery interval and spontaneous vaginal delivery. The secondary outcomes were to evaluate rate of induction failure, women given cerviprime or/and oxytocin, cesarean delivery, Apgar score and admission to the neonatal unit. Results: The mean induction to delivery interval was 12.3 ± 4.7 hours. Thirty two (84.2%) pregnant women had spontaneous vaginal deliveries. Among induction failure (15.8%), 7.8%, delivered vaginally after instillation of cerviprime and/or oxytocin and 7.8% delivered by caesarean. Apgar scores at 1 and 5 minutes were 8.9 and 9.9 respectively. None of the babies were admitted in the neonatal unit. Conclusion: The present study shows that the polyherbal Unani formulation was useful for reducing mean induction to delivery interval, and good perinatal outcome.
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