Abstract
This study compares prostaglandin E 2 (PGE 2) gel and oxytocin for the initiation of labor in term pregnancies with a moderately favorable cervix (Bishop score 5–8). Compared with a matched group, 48 cases treated with PGE 2 gel (2.5 mg intravaginally) required significantly less or no oxytocin, had shorter first stages of active labor, and had no increased risk of uterine hyperstimulation or cesarean section. Initiation of labor with low dose PGE 2 when the cervix is moderately favorable is less labor intensive and meets with more patient satisfaction.
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