Open AccessPreinductive cervical ripening with prostaglandin E, in women with one previous cesarean section
Author(s) -
Norman Margareta,
Ekman Gunvor
Publication year - 1992
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 - 10.3109/00016349209021072
Subject(s) - medicine , labor induction , ripening , obstetrics , bishop score , gynecology , prostaglandin , prostaglandin e2 , uterine rupture , scars , pregnancy , vaginal delivery , induction of labor , cervix , oxytocin , uterus , surgery , chemistry , food science , cancer , biology , genetics
Thirty term pregnant women with one previous cesarean section and with unripe cervices were given 0.5 mg prostaglandin E 2 in gel strictly intracervically for cervical ripening and labor induction. Fifteen out of these 30 women (50%) were vaginally delivered within 24 hours. The cervical ripeningllabor induction was considered a failure in two women. In one woman, an episode of hypercontractility was registered. After tocolytic therapy the uterine activity was normalised and the woman had a normal vaginal delivery. The frequency of cesarean sections was 8/30 (27%). At the operations no insufficencies in the uterine scars were noted. Conclusively, strict intracervical application of 0.5 mg prostaglandin E 2 in gel can be used for cervical ripening and labor induction also in women with one previous cesarean section.