The effectiveness of evening primrose oil gel capsule as a cervical ripening agent during labor induction as measured by bishop score on term singleton pregnant patients / Philippine Journal of Obstetrics and Gynecology
Philippine Journal of Obstetrics and Gynecology
;
: 1-4, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-960565
ABSTRACT
@#<p style="text-align justify;"><strong>BACKGROUND</strong> Pre-induction of labor cervical ripening increases success of labor induction when there is unfavorable cervix. Evening primrose oil soft gel capsule contains linoleic and gamma-linolenic acid, which are precursors of prostaglandins E1 andE2.<br /><strong>OBJECTIVE:
</strong> To measure the effectiveness of evening primrose oil capsule as a cervical ripening agent by measuring the Bishop score before and 4 hours after intravaginal insertion of six capsules.<br />METHODS:
A quasi-experimental cross-sectional study was conducted from the period of May to July 2016 involving labor induction patients with a Bishop score ?4, an intact amniotic sac and a Biophysical profile score of 10/10 or 8/8.<br /><strong>RESULTS:
</strong> Thirteen patients had an average age of 27±6 years, and a mean age of gestation of 40±1 weeks. Seven patients (54%) were nulliparous, 2 (15%) were primiparous and 4 (31%) were multiparous. Seven patients (54%) had hypertension, 1 (8%) had diabetes mellitus, 5 (38%) had post-term pregnancies. A paired t-test was done to check for statistically significant changes in the Bishop score. Change in the Bishop score from baseline to 4 hours after insertion of evening primrose oil capsules was statistically significant (p=0.001). Eleven patients (85%) had improvement in the Bishop score after 4 hours, 4 (31%) of which had a clinically significant change in the Bishop score (?4). Specifically, there were statistically significant changes in the dilatation (p=0.027), effacement (p=0.006) and consistency (p=0.002). The mean birth weight of deliveries was 3192±351 grams. Nine patients (69%) underwent primary low segment cesarean section, six (46%) of which for nonreassuring fetal status, 2 (15%) for arrest in cervical dilatation, and 1 (8%) for intraamnionic infection. Four patients (31%) successfully delivered vaginally.<br /><strong>CONCLUSION:
</strong> Results showed a positive effect on the Bishop score during cervical ripening although further studies are needed to establish direct correlation.</p>
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Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Peso al Nacer
/
Primer Periodo del Trabajo de Parto
/
Alprostadil
/
Cuello del Útero
/
Cesárea
/
Maduración Cervical
/
Diabetes Mellitus
/
Dilatación
/
Sufrimiento Fetal
/
Hipertensión
Límite:
Femenino
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Philippine Journal of Obstetrics and Gynecology
Año:
2017
Tipo del documento:
Artículo
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