Open AccessThe Use Of Pge 2 For Induction Of Labor In Parturients With A Previous Cesarean Section Scar
Author(s) -
Goldberger Shmuel B.,
Rosen Doron J.D.,
Michaeli Galia,
Markov Shlomo,
BenNun Isaac,
Fejgin Moshe D.
Publication year - 1989
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.1600-0412.1989.tb07830.x
Subject(s) - medicine , scars , obstetrics , section (typography) , apgar score , maternal morbidity , pregnancy , anesthesia , surgery , fetus , biology , advertising , business , genetics
Controversy still dominates the discussion of the correct method for delivering patients with a previous cesarean section (C/S) scar. Although many have abandoned the slogan of “once a cesarean, always a cesarean”, repeat cesareans are still the rule in many institutions. We have abandoned this dogma, and are now advancing to new ideas and are promoting a new protocol. Nineteen post‐one cesarean section patients were induced on various indications by means of PGE 2 pessaries. Close surveillance revealed no complications and 16 were delivered vaginally. All neonates had good Apgar scores, and all scars were found to be intact upon examination. We recommend cautious use of prostaglandins for selected post‐cesarean patients.