Unsucessful labour induction in women with unfavourable cervical scores: predictors and management

Çalışkan, Eray; Dilbaz, Serdar; Gelişen, Orhan; Dilbaz, Berna; Öztürk, Nilgün Turhan; Haberal, Alı

doi:10.1111/j.1479-828x.2004.00321.x

Cited by 22 publications

(15 citation statements)

References 19 publications

(38 reference statements)

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“…DiVerent researchers used diVerent volumes to Wll the Foley balloon with diVerent success rates and variable incidences of cesarean sections. Some used 30 ml [6,16] while others used 50 ml [10]. We used 30 ml volume and we had a C.S.…”

Section: Discussionmentioning

confidence: 99%

“…It is of low cost, easy to get and to apply, lacks systemic side eVects, reversible and can be used in women with prior cesarean sections [8]. The Foley catheter exerts its eVect by disrupting the integrity of amnion-chorion and myometrium interface and cervical collagen stimulating prostaglandin release and rendering the uterus susceptible [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Foley catheter versus intra-vaginal misoprostol for induction of labor in post-term gestations

Kandil

Emarh

Sayyed

et al. 2012

Arch Gynecol Obstet

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Foley catheter versus intra-vaginal misoprostol for induction of labor in post-term gestations

Kandil

Emarh

Sayyed

et al. 2012

Arch Gynecol Obstet

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“…The study finding also showed that relatively safe methods of induction of labor such as the Foley catheter were not used at the study site. This may be due to the induction protocol of the study facilities probably reinforced the use of oxytocin infusion and misoprostol as the main modes for induction of labor [18][19][20]. (Table 3).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Failed Induction of Labor and Associated Factors Among Women Delivered in Hawassa Public Health Facilities, Ethiopia, 2015

Hurissa¹,

Belachew²

2015

J Women’s Health Care

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Background: Induction of labor is an increasingly being done obstetric procedure throughout the world. It is carried out in approximately 20% of all pregnancies. It is associated with poorer outcomes when compared with spontaneous labor.Method: Institutional based cross sectional study was made on medical records of 294 women admitted for induction of labor in Hawassa public health facilities from 1st Jan, to 31st Dec, 2014. Systematic sampling technique was used to select samples. Data was collected by structured questionnaire and edited, then entered into Epi-Data version 3.1. Data was analyzed with Statistical Package for Social Science, version 21. First percentage, frequency and mean were calculated. Then, multivariable logistic regression analysis was done to evaluate the possible association of all variables that were candidate after binary logistic regression analysis. P-value of less than 0.05 in multivariable logistic regression was considered as statistically significant. Finally the result is summarized and presented in texts and charts. Result:The prevalence of failed induction of labor was 17.3%. Multivariable logistic regression analysis showed that advanced maternal age ] were significantly associated with failed induction of labor . Conclusion:Advanced age, Primiparity, unfavorable bishop score, premature rupture of membrane, greater for gestation and bad obstetric history had positive association with failed induction of labor. Developing practice guidelines may help to prevent unwarranted case selection and help to reduce the current high failure rates.

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“…Originally licensed as an oral treatment for gastric ulcers [27], it is used off-label worldwide in obstetrics [28]. Misoprostol binds selectively to prostanoid receptors, increases intracellular calcium and contracts myometrium [5,22], while also softening the cervix by collagen disintegration and dissolution [7]. As a result, it shortens the induction-to-delivery interval compared to placebo, oxytocin or other induction agents in women with an unfavourable cervix [14].…”

Section: Introductionmentioning

confidence: 99%

Maternal and neonatal outcome of labour induction at term comparing two regimens of misoprostol

Kreft

Krähenmann

Roos

et al. 2014

Journal of Perinatal Medicine

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Aim: To compare the efficacy and safety of two misoprostol dosing regimens for induction of labour in primiparous (1P) and multiparous ( > 1P) women. Methods: Retrospective study of induction of labour using vaginal misoprostol 25 μg vs. 50 μg every 6 h in 942 women at a tertiary centre. The main outcome variables are induction-to-delivery interval, latency period duration, vaginal delivery within 24 h, and maternal and foetal safety outcome. Results: With the 50 μg regimen, induction-to-delivery intervals were significantly shorter: 18.4 h vs. 24.6 h (1P) and 14 h vs. 17.9 h ( > 1P), as was latency period duration (by 5.4 and 4 h, respectively). Vaginal delivery within 24 h was significantly more frequent, as were non-reassuring foetal heart rate (1P: 20% vs. 14%) and tachysystole (1P: 31% vs. 11%; > 1P: 21% vs. 7%). No uterine rupture was reported. Neonatal outcomes were similar except for significantly more frequent infant referral to neonatal intensive care in the > 1P group receiving the 50 μg regimen (11% vs. 4%). Conclusion: Vaginal misoprostol 25 μg seems to maintain efficacy with more acceptable maternal and neonatal safety. As induction of labour is an off-label use for misoprostol, safety should be prioritised with the lower dosage regimen despite the longer induction-to-delivery interval.

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Unsucessful labour induction in women with unfavourable cervical scores: predictors and management

Abstract: When misoprostol induction fails, Foley catheter is a safe and effective method for cervical ripening. Foley catheter can be the first treatment of choice in post-term nulliparous women or preterm women with Bishop score

Cited by 22 publications

References 19 publications

Foley catheter versus intra-vaginal misoprostol for induction of labor in post-term gestations

Foley catheter versus intra-vaginal misoprostol for induction of labor in post-term gestations

Prevalence of Failed Induction of Labor and Associated Factors Among Women Delivered in Hawassa Public Health Facilities, Ethiopia, 2015

Maternal and neonatal outcome of labour induction at term comparing two regimens of misoprostol

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