Induction of labor with intracervical PGE2 in women with previous one cesarean section

ABSTRACT

Labor was induced with intracervical application of 1 mg PGE2 tablets in 42 term pregnat women with previous one cesarean section. 34 of them [81%] were delivered vaginally. Labor induction was considered failure in one woman [2.4%]. Repeat cesarean section was performed in 8 women [19%]. No neonatal deaths were reported. No uterine rupture or scar dehiscence were noted after vaginal delivery or at repeat cesarean section. In conclusion, intracervical application of PGE2 tables can reduce the need for cesarean section by inducing cervical ripening and labor induction in selected women with previous one cesarean section