Vaginal prostaglandin gel to induce labour in women with one previous caesarean section.
Agnew, G Turner, M J
Agnew, G
Turner, M J
Author
Advisors
Editors
Other Contributors
Date
2012-02-01T10:58:01Z
Date Submitted
Keywords
Other Subjects
Subject Mesh
Administration, Intravaginal
Dinoprostone/*administration & dosage
Female
Humans
Labor, Induced/*methods
*Oxytocics
Pregnancy
Retrospective Studies
Vaginal Birth after Cesarean/*statistics & numerical data
Dinoprostone/*administration & dosage
Female
Humans
Labor, Induced/*methods
*Oxytocics
Pregnancy
Retrospective Studies
Vaginal Birth after Cesarean/*statistics & numerical data
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
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
ISSN
1364-6893 (Electronic)
0144-3615 (Linking)
0144-3615 (Linking)
eISSN
ISBN
DOI
10.1080/01443610902743789
PMID
19358026