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KMID : 1143220190620060397
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Obstetrics & Gynecology Science
2019 Volume.62 No. 6 p.397 ~ p.403
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Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section
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Sangwan Vijayata
Siwach Sunita
Lakra Pinki
Sangwan Mukesh
Singh Sanjeet
Mahendru Rajiv
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Abstract
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Objective: After globally acceptance of planned vaginal birth after cesarean section (VBAC), the mode of induction is still a matter of debate and requires further discussion. We aimed to study obstetric outcomes in post-cesarean patients undergoing induction of labor with prostaglandin gel compared with patients who developed spontaneous labor pains.
Methods: All patients at 34 weeks or more of gestation with previous one cesarean section eligible for trial of labor after cesarean section admitted in a labor room within one year were divided in 2 groups. Group one consisted of patients who experienced the spontaneous onset of labor pains and group 2 consisted of patients who underwent induction of labor with prostaglandin gel. They were analyzed for maternofetal outcomes. Descriptive statistics, independent sample t-test, and chi-square test were applied using SPSS 20 software for statistical analysis.
Results: Both groups were comparable in maternal age, parity, and fetal weight, but different in bishop score, mode of delivery, and neonatal outcome. Admisson bishop score was 6.61±2.51 in group 1 and 3.15±1.27 in group 2 (P<0.005). In the patients who experienced spontaneous labor, 86.82% had successful VBAC. In the patients with induced labor, 64.34% had successful VBAC with an average dose of gel of 1.65±0.75. Both groups had one case each of uterine rupture. The neonatal intensive care unit admission rate was 4.1% in group one and 10.4% in group 2.
Conclusion: This study reflects that supervised labor induction with prostaglandin gel in previous one cesarean section patients is a safe and effective option.
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KEYWORD
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Scar dehiscence, Uterine rupture, Prostaglandins, Post cesarean
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