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The results of different labour induction approaches: A Cross sectional study


Obstetrics & Gynecology International Journal
María Dolores Lara Dominguez,1 Jorge Duro Gómez,1 Antonio De La Torre Gonzalez,1 Araceli Lopez Jimenez,1 Beatriz Pineda Reyes,1 Camil Castelo-Branco2

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Abstract

Background and Purpose: To evaluate the use of prostaglandins and oxytocin in labour induction according to different indications. Perinatal outcomes, rate of vaginal delivery and complation of labour were studied and compared.
Methods: Cross-sectional descriptive study from January 2012 to December 2012. 530 women who required labour induction were included. Seven groups were created according to the methods of induction. Women with twin pregnancies, induction of dead foetus, two previous caesarean sections or an incomplete clinical history were excluded.
Results: The rate of vaginal deliveries in women that only received prostaglandins the first day was 84.6%; similar in women with prolonged pregnancies, 85.2%. The induction with oxytocin directly showed the highest rate of caesarean section. The rate of vaginal deliveries was 50% in women with previous caesarean section. Conclusion: A high rate of vaginal deliveries with a single dose of prostaglandin and within 24 hours of beginning induction. Administration of prostaglandins must be used when cervix is unfavorable and previous to oxytocin stymulation.

Keywords

labour induction, vaginal dinoprostone, prostaglandin, oxytocin, cervical ripening and vaginal delivery

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