Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section
10.5468/ogs.2019.62.6.397
- Author:
Vijayata SANGWAN
1
;
Sunita SIWACH
;
Pinki LAKRA
;
Mukesh SANGWAN
;
Sanjeet SINGH
;
Rajiv MAHENDRU
Author Information
1. Department of Obstetrics & Gynecology, B.P.S. Government Medical College for Women, Sonipat, India.
- Publication Type:Original Article
- Keywords:
Scar dehiscence;
Uterine rupture;
Prostaglandins;
Post cesarean
- MeSH:
Cesarean Section;
Female;
Fetal Weight;
Humans;
Infant, Newborn;
Intensive Care, Neonatal;
Labor Pain;
Labor, Induced;
Maternal Age;
Parity;
Pregnancy;
Prostaglandins;
Trial of Labor;
Uterine Rupture;
Vaginal Birth after Cesarean
- From:Obstetrics & Gynecology Science
2019;62(6):397-403
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
