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Obstetric outcomes really worse with the induction of labor


Obstetrics & Gynecology International Journal
Jorge Duro Gómez,1 Justo Martínez León,2 Ana Belén Rosa María,1 Rosa Llamas Fuentes2

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Abstract

Objective: to describe the obstetric outcomes in patients with an active induction of labor (IOL).
Methods: 1037 deliveries were included. In case of IOL, women with unfavorable cervix (Bishop≤6) start with 2 tablets of 25mcg vaginal misoprostol followed by a new tablet every 4 hours up to a maximum of 4 doses. In case of any contraindication for misoprostol a 10mg tablet of dinoprostone was inserted into the vagina. In any case, a cardiotocographic record during 30 minutes was performed previous to each dose. When Bishop was >6, artificial rupture of membranes and oxytocin stimulation was performed.
Results: Of 351 spontaneous deliveries, 57 (16.24%) were urgent cesarean section, 211 (60.11%) were eutocic, 58 (7.12%) ended by forceps and 58 (16.52%) by vacuum. Among the IOL (556), 127 (22.84%) completed the delivery by urgent cesarean section, 291(52.33%) were eutocic, 55 (9.89%) ended by forceps and 81 (14.56%) by vacuum
Conclusion: the active attitude during the IOL favors results similar to those when the delivery is spontaneous.

Keywords

obstetric outcomes, induction of labor, maternal, fetal

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