Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section
Obstetrics & Gynecology Science
;
: 397-403, 2019.
Article
in English
| WPRIM
| ID: wpr-760680
ABSTRACT
OBJECTIVE:
After globally acceptance of planned vaginal birth after cesarean section (VBAC), the mode of induction is still a matter of debate and requires further discussion. We aimed to study obstetric outcomes in post-cesarean patients undergoing induction of labor with prostaglandin gel compared with patients who developed spontaneous labor pains.METHODS:
All patients at 34 weeks or more of gestation with previous one cesarean section eligible for trial of labor after cesarean section admitted in a labor room within one year were divided in 2 groups. Group one consisted of patients who experienced the spontaneous onset of labor pains and group 2 consisted of patients who underwent induction of labor with prostaglandin gel. They were analyzed for maternofetal outcomes. Descriptive statistics, independent sample t-test, and chi-square test were applied using SPSS 20 software for statistical analysis.RESULTS:
Both groups were comparable in maternal age, parity, and fetal weight, but different in bishop score, mode of delivery, and neonatal outcome. Admisson bishop score was 6.61±2.51 in group 1 and 3.15±1.27 in group 2 (P<0.005). In the patients who experienced spontaneous labor, 86.82% had successful VBAC. In the patients with induced labor, 64.34% had successful VBAC with an average dose of gel of 1.65±0.75. Both groups had one case each of uterine rupture. The neonatal intensive care unit admission rate was 4.1% in group one and 10.4% in group 2.CONCLUSION:
This study reflects that supervised labor induction with prostaglandin gel in previous one cesarean section patients is a safe and effective option.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Parity
/
Uterine Rupture
/
Trial of Labor
/
Intensive Care, Neonatal
/
Cesarean Section
/
Prostaglandins
/
Vaginal Birth after Cesarean
/
Maternal Age
/
Fetal Weight
/
Labor Pain
Limits:
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2019
Type:
Article
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