Induction of Labor with Prostaglandin E2 in Women with Previous Cesarean Section and

摘要

Background: Induction of labor is common in obstetric practice. According to the most current studies, the rate varies from 9.5to 33.7 percent of all pregnancies annually. In the absence of a ripe or favorable cervix, a successful vaginal birth is less likely.Therefore, cervical ripening or preparedness for induction should be assessed before a regimen is selected. To objective is tostudy the pregnancy outcome of induction of labor with prostaglandin E2 (PGE2) in women with one previous lower segmentcesarean section.Methods : A prospective study was conducted at Maternity & Children Hospital, Buraidah (Qassim), Saudi Arabia. The sampleincluded 153 consecutive women with one previous cesarean section, of whom 75 underwent induction of labor (study group)and 78 were admitted with spontaneous onset of labor (control group). Vaginal tablets of PGE2 were used for cervical ripeningin the study group. Mode of delivery, neonatal outcome, indications for cesarean section, and rate of uterine rupture werecompared between the groups.Results : There were no significant differences between the study and control groups in mean (_S.D.) maternal age (30:9 _ 4:7years versus 31:2 _ 4:8 years, P ? 0:6), gestational age at delivery (39:2 _ 1:8 weeks versus 39:3 _ 1:6 weeks, P ? 0:36),overall rate of cesarean section (24% versus 20.5%, P ? 0:8), rates of low 5-min Apgar score (3.1% versus 3.7%, P ? 0:67) orcesarean section performed for non-reassuring fetal heart rate (9.3% versus 7.69%, P ? 0:1). There were no cases of uterinerupture, in both groups.Conclusion : The findings suggest that induction of labor in women with one previous cesarean section does not increase therisk of cesarean section rate and does not adversely affect immediate neonatal outcome. We cautiously suggest that whenthere is no absolute indication for repeated cesarean section, induction of labor may be considered.PDFHow to Cite Alsayegh, A.-K., Roshdy, S., Hany, A., & Maha, Y. (1). Induction of Labor with Prostaglandin E2 in Women with Previous Cesarean Section and. International Journal of Health Sciences, 1(2). Retrieved from https://ijhs.org.sa/index.php/journal/article/view/86More Citation FormatsACMACSAPAABNTChicagoHarvardIEEEMLATurabianVancouverDownload CitationEndnote/Zotero/Mendeley (RIS)BibTeXIssueVol 1 No 2 (1): Issue 2SectionOriginal Paper Authors who publish with this journal agree to the following terms:Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).Make a SubmissionInformationFor ReadersFor AuthorsFor LibrariansIndexed in PubMed, PubMed Central, EBSCO Host, Emerging Sources Citation Index (Thomoson Reuters), DOAJ, Google Scholar, Microsoft Academic