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        Obstetric outcome of induction of labor using prostaglandin gel in patients with previous one cesarean section

        Vijayata Sangwan,Sunita Siwach,Pinki Lakra,Mukesh Sangwan,Sanjeet Singh,Rajiv Mahendru 대한산부인과학회 2019 Obstetrics & Gynecology Science Vol.62 No.6

        ObjectiveAfter globally acceptance of planned vaginal birth after cesarean section (VBAC), the mode of induction is still amatter of debate and requires further discussion. We aimed to study obstetric outcomes in post-cesarean patientsundergoing induction of labor with prostaglandin gel compared with patients who developed spontaneous laborpains. MethodsAll patients at 34 weeks or more of gestation with previous one cesarean section eligible for trial of labor aftercesarean section admitted in a labor room within one year were divided in 2 groups. Group one consisted of patientswho experienced the spontaneous onset of labor pains and group 2 consisted of patients who underwent inductionof labor with prostaglandin gel. They were analyzed for maternofetal outcomes. Descriptive statistics, independentsample t-test, and chi-square test were applied using SPSS 20 software for statistical analysis. ResultsBoth groups were comparable in maternal age, parity, and fetal weight, but different in bishop score, mode ofdelivery, and neonatal outcome. Admisson bishop score was 6.61±2.51 in group 1 and 3.15±1.27 in group 2 (P<0.005). In the patients who experienced spontaneous labor, 86.82% had successful VBAC. In the patients with induced labor,64.34% had successful VBAC with an average dose of gel of 1.65±0.75. Both groups had one case each of uterinerupture. The neonatal intensive care unit admission rate was 4.1% in group one and 10.4% in group 2. ConclusionThis study reflects that supervised labor induction with prostaglandin gel in previous one cesarean section patients isa safe and effective option.

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