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Comparative Study between two Regimens of Dinoprostone Gel Induction

K.S. Chitra, Professor, Department of Obstetrics and Gynecology, Government Rajaji Hospital (GRH), Madurai Medical College, Madurai, Tamil Nadu 625020, India , C. Shanthi1 , K.S. Chitra2

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Indian Journal of Obstetrics and Gynecology 7(1):p 15-18, Jan-Mar 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7119.3

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Abstract

Objectives: To reduce the primary caesarean section rate by rescheduling the cerviprime dosing intervals thereby achieving successful vaginal delivery. Methods: A prospective observational case control study was carried out on 70 women undergoing induction of labour between March 2016 to May 2016. In the study group of 50 subjects labour was induced by intracervical dinoprostone where the repeat doses were rescheduled at 0 hr - 24 hrs – 36 hrs, which compared with the control group, which was assigned the conventional induction schedule of 0 hr-6 hrs-12 hrs. In both the groups’ maximum of 3 doses as needed were used. The effectiveness was compared on the basis of rate of successful vaginal deliveries. Results: Successful vaginal delivery was 80% in study group and 40% in conventional control group. p value is 0.005. The difference was statistically significant. Conclusion: By prolonging the interval between the repeat dinoprostone gel inductions, improves the success of vaginal deliveries thereby bringing down the incidence of primary caesarean section.

Keywords: Induction of labour; vaginal delivery; Caesarean section. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7119.3

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