scholarly journals Transvaginal ultrasonography compared with Bishop score for predicting cesarean section after induction of labor

2011 ◽  
pp. 277
Author(s):  
Fatemeh Abasalizadeh ◽  
Parvin Bastani ◽  
Kobra Hamdi ◽  
Nazli Navali ◽  
Pourmousa ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Induction Of Labor ◽  
Transvaginal Ultrasonography ◽  
Bishop Score

scholarly journals Oxytocin Versus Dinoprostone For Labor Induction in Multiparous Women with Unfavorable Cervix

2020 ◽  
pp. 1
Author(s):  
Gul Nihal Buyuk ◽  
Umit Yasemin Sert ◽  
Zeynep Asli Oskovi kaplan ◽  
Serkan Kahyaoglu
Keyword(s):  
Cesarean Section ◽  
Neonatal Intensive Care ◽  
Daily Practice ◽  
Induction Of Labor ◽  
Cervical Ripening ◽  
Delivery Mode ◽  
Bishop Score ◽  
Multiparous Women ◽  
Group A ◽  
Group B

<p><strong>OBJECTIVE:</strong> Dinoprostone is a drug of choice in our daily practice for the induction of labor. The aim of our study; to compare the use of oxytocin with dinoprostone (PGE2- Propess©) used in term multiparous pregnant women to ripen the cervix.</p><p><strong>STUDY DESIGN:</strong> A total of 507 patients were included in the study. Group A, consisted of 262 women with term multiparous pregnancy Bishop score ≤6 underwent induction of labor with a vaginal insert containing 10-mg timed-release dinoprostone (Propess© -prostaglandin E2). Group B, consisted of 245 cases of pregnancy with Bishop score ≤6 underwent induction of labor with iv oxytocin and was matched for the patient's age and parity. The following data were recorded: age, gestational age, body mass index, the time from the drug administration to the vaginal labor, delivery mode, indications of induction, cesarean indication, birth weight, Apgar score, and need of neonatal intensive care unit. </p><p><strong>RESULTS:</strong> The primary outcome of the in group B interval from induction to vaginal delivery was similar between the two groups. In group A, 41 patients and in group B, 23 patients had a cesarean section. Cesarean section rate was lower in the oxytocin group (cesarean rate 15.6% versus 9.3%, p&lt;0.05). </p><p><strong>CONCLUSION:</strong> It appears; Dinoprostone ovule increases the cesarean rate in terms, multiparous cases with inappropriate cervical score and does not shorten the duration of delivery. Therefore, the use of oxytocin for cervical ripening in multiparous women may be a more appropriate option.</p>

scholarly journals A comparative study of vaginal misoprostol, dinoprostone gel, foley catheter, extra amniotic saline infusion along with vaginal misoprostol for induction of labor at term

2020 ◽  
Vol 9 (9) ◽  
pp. 3683
Author(s):  
Ektha M. Shetty ◽  
Asha Neravi
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Foley Catheter ◽  
Induction Of Labor ◽  
Saline Infusion ◽  
Bishop Score ◽  
Number Of Patients ◽  
Misoprostol Group ◽  
Nicu Admission ◽  
Vaginal Misoprostol

Background: Objective of this study was to study the effect of vaginal misoprostol, dinoprostone gel, foley catheter, extra amniotic saline infusion along with vaginal misoprostol for induction of labor at term on maternal and fetal outcome.Methods: A one-year prospective observational study was conducted in the department of obstetrics and gynecology, SDM College of Medical Science and Hospital, Dharwad. Totally 100 postdated primigravida women with singleton gestation, vertex presentation and intact membrane who were induced with any four methods of induction 1) Tab. misoprostol 25 µg vaginally, 2) Intracervical dinoprostone gel, 3) Foley catheter and 4) Extra amniotic saline infusion along with tab. misoprostol 25 µg vaginally with 25 patients selected in each group, by random allocation technique and included in the study. Outcome measures analysed were the demographic profile, bishop score, induction to delivery interval, mode of delivery, maternal and fetal complications. Statistical analysis was done using SPSS 17 software.Results: Mean induction delivery interval was significant between PGE1 versus foley group (p=0.0034). In this study, 60% patients in dinoprostone group had Vaginal delivery and 72% in the EASI + misoprostol group underwent cesarean section (p=0.0372). NICU admission was maximum with EASI + vaginal misoprostol group and minimum with vaginal misoprostol alone.Conclusions: The groups were comparable with respect to maternal age, bishop score and fetal weight. The vaginal misoprostol group had shortest induction delivery interval. The maximum number of patients in dinoprostone gel group underwent vaginal delivery with a highest cesarean section and NICU admission with the EASI + misoprostol group.

scholarly journals Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy

2017 ◽  
Vol 30 (4) ◽  
pp. 281 ◽  
Author(s):  
Catarina Policiano ◽  
Mariana Pimenta ◽  
Diana Martins ◽  
Nuno Clode
Keyword(s):  
Foley Catheter ◽  
Mode Of Delivery ◽  
Tertiary Hospital ◽  
Mechanical Effect ◽  
Induction Of Labor ◽  
Catheter Removal ◽  
Bishop Score ◽  
Delivery Time ◽  
Singleton Pregnancy ◽  
Previous Cesarean

Introduction: Foley catheter promotes cervix priming by a direct mechanical effect of distension.Material and Methods: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor. The primary outcome was the Bishop score variation (difference between Bishop score before and after insertion of Foley catheter). Mode of delivery, induction-to-delivery time, uterine tachysystole with fetal decelerations, peripartum fever ≥ 38º C, maternal pain and mortality were also analyzed.Results: Within 201 inductions with Foley catheter, average increase in Bishop score after catheter placement was three (1 - 7), with only 5% (11/201) of unmodified cervix after catheter removal/extrusion. Vaginal delivery rate was 71% (142/201) and in women with a previous cesarean section (n = 40) was 37% (15/40). Average induction-to-delivery time was 38 hours (4 - 120). Uterine infection rate was 3% (6/201). There was only one case of significant vaginal bleeding which required immediate catheter removal. There has been no significative maternal or neonatal morbidity.Discussion/Conclusion: Foley catheter is a safe and effective method of cervical priming for women with an unfavorable cervix, even in the case of a previous cesarean delivery.

Simplified Bishop score including parity predicts successful induction of labor

2016 ◽  
Vol 203 ◽  
pp. 309-314 ◽  
Author(s):  
Joanna Ivars ◽  
Charles Garabedian ◽  
Patrick Devos ◽  
Denis Therby ◽  
Sabine Carlier ◽  
...  
Keyword(s):  
Induction Of Labor ◽  
Bishop Score ◽  
Successful Induction
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