Vaginal prostaglandin gel to induce labour in women with one previous caesarean section.

Hdl Handle:
http://hdl.handle.net/10147/208024
Title:
Vaginal prostaglandin gel to induce labour in women with one previous caesarean section.
Authors:
Agnew, G; Turner, M J
Affiliation:
UCD School of Medicine and Medical Science, Coombe Women and Infants University, Hospital, Dublin, Ireland. gerryagnew@gmail.com
Citation:
J Obstet Gynaecol. 2009 Apr;29(3):209-11.
Journal:
Journal of obstetrics and gynaecology : the journal of the Institute of, Obstetrics and Gynaecology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208024
DOI:
10.1080/01443610902743789
PubMed ID:
19358026
Abstract:
This retrospective study reviewed the mode of delivery when vaginal prostaglandins were used to induce labour in women with a single previous lower segment caesarean section. Over a 4-year period, PGE 2 gel was used cautiously in low doses in 54 women. Induction with PGE 2 gel was associated with an overall vaginal birth after caesarean section (VBAC) rate of 74%, which compared favourably with the 74% VBAC rate in women who went into spontaneous labour (n = 1969). There were no adverse outcomes recorded after the prostaglandin inductions but the number reported are too small to draw any conclusions about the risks, such as uterine rupture. We report our results because they may be helpful in assessing the chances of a successful VBAC in the uncommon clinical circumstances where prostaglandin induction is being considered.
Language:
eng
MeSH:
Administration, Intravaginal; Dinoprostone/*administration & dosage; Female; Humans; Labor, Induced/*methods; *Oxytocics; Pregnancy; Retrospective Studies; Vaginal Birth after Cesarean/*statistics & numerical data
ISSN:
1364-6893 (Electronic); 0144-3615 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorAgnew, Gen_GB
dc.contributor.authorTurner, M Jen_GB
dc.date.accessioned2012-02-01T10:58:01Z-
dc.date.available2012-02-01T10:58:01Z-
dc.date.issued2012-02-01T10:58:01Z-
dc.identifier.citationJ Obstet Gynaecol. 2009 Apr;29(3):209-11.en_GB
dc.identifier.issn1364-6893 (Electronic)en_GB
dc.identifier.issn0144-3615 (Linking)en_GB
dc.identifier.pmid19358026en_GB
dc.identifier.doi10.1080/01443610902743789en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208024-
dc.description.abstractThis retrospective study reviewed the mode of delivery when vaginal prostaglandins were used to induce labour in women with a single previous lower segment caesarean section. Over a 4-year period, PGE 2 gel was used cautiously in low doses in 54 women. Induction with PGE 2 gel was associated with an overall vaginal birth after caesarean section (VBAC) rate of 74%, which compared favourably with the 74% VBAC rate in women who went into spontaneous labour (n = 1969). There were no adverse outcomes recorded after the prostaglandin inductions but the number reported are too small to draw any conclusions about the risks, such as uterine rupture. We report our results because they may be helpful in assessing the chances of a successful VBAC in the uncommon clinical circumstances where prostaglandin induction is being considered.en_GB
dc.language.isoengen_GB
dc.subject.meshAdministration, Intravaginalen_GB
dc.subject.meshDinoprostone/*administration & dosageen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLabor, Induced/*methodsen_GB
dc.subject.mesh*Oxytocicsen_GB
dc.subject.meshPregnancyen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshVaginal Birth after Cesarean/*statistics & numerical dataen_GB
dc.titleVaginal prostaglandin gel to induce labour in women with one previous caesarean section.en_GB
dc.contributor.departmentUCD School of Medicine and Medical Science, Coombe Women and Infants University, Hospital, Dublin, Ireland. gerryagnew@gmail.comen_GB
dc.identifier.journalJournal of obstetrics and gynaecology : the journal of the Institute of, Obstetrics and Gynaecologyen_GB
dc.description.provinceLeinster-

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