Induction of Labor with PGE2 after One Previous Cesarean Section: 18 Years Experience in a University Hospital

Qahtani, Nourah Al; Borshaid, Sameera Al; Enezi, Hissa Al

doi:10.4236/ijcm.2011.21008

Cited by 4 publications

(6 citation statements)

References 18 publications

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“…Doshi et al [11] and others [1213] reported the interesting finding that maternal age >35 years and fetal weight >3.5 kg were associated with decreased chances of successful TOLAC. In the present study, the mean age was 25.81±2.72 years, which is younger that reported in literature from the western world [8] but comparable with that reported in studies of Asian countries [910]. This may be due to nutritional, financial, or ethnical factors that vary among these regions.…”

Section: Discussionsupporting

confidence: 67%

“…In our study, the reported rate was 64.34%. The rate of successful VBAC in patients with spontaneous onset of labour pains is reported from 67.2% [9] to 72.3% [10]; in present study it was 86.82%.…”

Section: Discussionmentioning

confidence: 49%

“…Metanalysis by Guise et al [6] and Mozurkewich and Hutton [7] (n=103,188 VBAC labors) also reported a pooled VBAC labor success rate of 74%, while the National Institute of Child Health and Human Development study reported a 73% VBAC rate (n=17,898 VBAC labors) [3]; these are comparable to the present study. A post-cesarean vaginal birth rate of 64% [8] to 68.3% [9] has been reported in patients after induced labor with prostaglandin gel. In our study, the reported rate was 64.34%.…”

Section: Discussionmentioning

confidence: 99%

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Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section

et al. 2019

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ObjectiveAfter 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.MethodsAll 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.ResultsBoth 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.ConclusionThis 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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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

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Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section

et al. 2019

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“…A comparable study by Alsayegh AK et al, Jitesh S et al, Qahtani NA et al, Monohar R et al, shows similar results. 5,6,9,11,12 We have included patients with gestational age >37 weeks up to 42 weeks, period of gestation. Most of cases were 37-39 weeks 79 (52.7%) and 71 (47.3%).…”

Section: Discussionmentioning

confidence: 99%

Maternal outcomes in patients with previous one lower segment caesarean section undergoing trial of labour: prospective observational study

Veeramma

Mahajan

2018

Int J Reprod Contracept Obstet Gynecol

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Background: The incidence of caesarean section is on the rise and has increased 2-3 folds from the initial rate of 10% during the last decade. The objective of the present study was to compare maternal outcomes in successful and failed trial of labour in women with previous one LSCS.Methods: This prospective observational study was carried out in Department of obstetrics & Gynaecology, Sanjay Gandhi memorial Hospital, New Delhi during 2015-2016 and included 150 gravid women with previous LSCS. The study was undertaken during March 2015 to May 2016. The ethical committee approval for the study has been taken.Results: out of 150 patients who had given a trial of labour, 64.7% (97) underwent successful VBAC and 35.3 %( 53) underwent emergency repeat LSCS. Majority of cases 59.3% were in age group <25 years followed by 36.7% in age group of 25-30 years. Most of the cases are para one 72.7% and remaining are multipara (27.3%). LSCS group: 83% para1 and 17% are multipara. VBAC group: 67.01 % para 1 and 32.9% multipara. There is no significant statistical difference between parity and mode of delivery. (p=0.591). Majority of cases 52.7% were in between 37-39 weeks and 47.3% cases were in between 39-42 weeks. Majority cases 89.3% had Bishop’s score 4-6 and 10.7% had Bishops score >6.Conclusions: This study reveals that successful VBAC rate was 64.7% and 35.3% emergency repeat caesarean section.

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“…It has been estimated that increased uptake of planned VBAC could decrease the overall cesarean section rate by around 5%. 5 In a 2010 consensus conference, the National institutes of Health (NIH) examined the safety and outcome of trial of labor after cesarean (TOLAC) and VBAC and factors associated with decreasing rates. The NIH panel had recognized that TOLAC was a reasonable option for many women who had prior cesarean delivery and called all organizations to facilitate access to TOLAC.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of induction in trial of labor after cesarean delivery

Varshney

Mohsin

2019

Int J Reprod Contracept Obstet Gynecol

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Background: The objective of this study is to evaluate the outcomes of induction of labor in women attempting trial of labor after cesarean delivery and to compare maternal and neonatal morbidity and mortality in women who were induced to those delivering spontaneously.Methods: The prospective study was carried out in the Department of Obstetrics and Gynecology in collaboration with the Neonatal Section, Department of Pediatrics at J.N. Medical College and Hospital, AMU Aligarh. The sample included 280 women with one previous cesarean section, of whom 130 women underwent induction of labor (study group) and 150 were admitted with spontaneous onset of labor. Prostaglandin gel and intracervical Foley’s were used for cervical ripening in the study group. Indication of cesarean section, mode of delivery, maternal and neonatal outcome were studied in between groups.Results: Overall rate of vaginal delivery after cesarean section was 45.3% and 56% in both study and control group respectively. The rate of cesarean section were higher in women who were induced and having unfavorable cervix. Maternal and neonatal morbidity were not significantly higher as compared in both groups, however one case of scar rupture was found in study group.Conclusions: Induction of labor in women with previous cesarean section had higher rates of cesarean section however it does not adversely affect neonatal and maternal morbidity. Overall vaginal birth is safe and effective in women with previous cesarean section by prostaglandin gel or intracervical Foley’s. Authors cautiously suggest, induction of labor should be considered in preselected patient with strict monitoring.

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Induction of Labor with PGE2 after One Previous Cesarean Section: 18 Years Experience in a University Hospital

Cited by 4 publications

References 18 publications

Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section

Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section

Maternal outcomes in patients with previous one lower segment caesarean section undergoing trial of labour: prospective observational study

Outcomes of induction in trial of labor after cesarean delivery

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