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

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    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
    Issue Date
    2012-02-01T10:58:01Z
    MeSH
    Administration, Intravaginal
    Dinoprostone/*administration & dosage
    Female
    Humans
    Labor, Induced/*methods
    *Oxytocics
    Pregnancy
    Retrospective Studies
    Vaginal Birth after Cesarean/*statistics & numerical data
    
    Metadata
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    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
    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
    ISSN
    1364-6893 (Electronic)
    0144-3615 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1080/01443610902743789
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

    entitlement

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