Abstract
OBJECTIVE: Dinoprostone is a drug of choice in our daily practice for the induction of labor. The aim of our study; to compare the use of oxytocin with dinoprostone (PGE2- Propess©) used in term multiparous pregnant women to ripen the cervix.STUDY DESIGN: A total of 507 patients were included in the study. Group A, consisted of 262 women with term multiparous pregnancy Bishop score ≤6 underwent induction of labor with a vaginal insert containing 10-mg timed-release dinoprostone (Propess© -prostaglandin E2). Group B, consisted of 245 cases of pregnancy with Bishop score ≤6 underwent induction of labor with iv oxytocin and was matched for the patient's age and parity. The following data were recorded: age, gestational age, body mass index, the time from the drug administration to the vaginal labor, delivery mode, indications of induction, cesarean indication, birth weight, Apgar score, and need of neonatal intensive care unit. RESULTS: The primary outcome of the in group B interval from induction to vaginal delivery was similar between the two groups. In group A, 41 patients and in group B, 23 patients had a cesarean section. Cesarean section rate was lower in the oxytocin group (cesarean rate 15.6% versus 9.3%, p<0.05). CONCLUSION: It appears; Dinoprostone ovule increases the cesarean rate in terms, multiparous cases with inappropriate cervical score and does not shorten the duration of delivery. Therefore, the use of oxytocin for cervical ripening in multiparous women may be a more appropriate option.
Highlights
The main objective of obstetrics is to provide the birth of a healthy fetus with minimal trauma to the mother
It appears; Dinoprostone ovule increases the cesarean rate in terms, multiparous cases with inappropriate cervical score and does not shorten the duration of delivery
Two hundred and sixty-two women were in the dinoprostone vaginal insert group named group A, and 245 women were in the Gynecology Obstetrics & Reproductive Medicine 2021;27(2):123-127 oxytocin group named group B
Summary
The main objective of obstetrics is to provide the birth of a healthy fetus with minimal trauma to the mother. The birth starts spontaneously and vaginal delivery occurs near. Submitted for Publication: 16.10.2019 Revised for Publication: 29.11.2019 Accepted for Publication: 16.12.2019 Online Published: 02.08.2021. Quick Response Code: Access this article online. How to cite this article: Buyuk GN. Oxytocin Versus Dinoprostone For Labor Induction in Multiparous Women with Unfavorable Cervix. Medical or obstetric complications or post-term pregnancies may require labor induction. If Bishop's score is not appropriate, cervical maturation methods are needed first for successful labor-management [3]. Mechanical or medical methods have been defined for this purpose. If the Bishop score is less than 6, it is recommended that one of the cervical ripening methods should be used
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
