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Induction of labor with vaginal prostaglandin E 2 pessaries
Author(s) -
Varma T.R.,
Norman Jacqueline,
Cowell Lynne
Publication year - 1983
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(83)90071-1
Subject(s) - medicine , oxytocin , fetal distress , bishop score , obstetrics , apgar score , labor induction , incidence (geometry) , induction of labor , vaginal delivery , gynecology , prostaglandin e2 , prostaglandin , significant difference , pregnancy , fetus , anesthesia , cervix , physics , cancer , biology , optics , genetics
Prostaglandin E 2 vaginal pessaries (3 mg) were compared with conventional amniotomy and oxytocin infusion as a method of induction of labor in 160 patients in the study group compared with 160 in the control group. Each group consisted of 100 primigravidae and 60 multigravidae. When the features of labor, delivery and fetal status were analyzed for the study and the control groups, the patients who received PGE 2 pessaries had a better outcome. The difference was more significant for those patients with a low Bishop score. Compared with controls, the PGE 2 ‐treated patients had fewer cesarean sections either for failed induction or fetal distress ( P < 0.01); the incidence of infants with low Apgar score was significantly less ( P < 0.05) and there were fewer postpartum haemorrhages ( P < 0.01)