Prostaglandin E2 induction of labor and cervical ripening for term isolated oligohydramnios in pregnant women with Bishop score ≤ 5

Kansu-Celik, Hatice; Gun-Eryılmaz, Ozlem; Doğan, Nasuh Utku; Haktankacmaz, Seval A.; Çınar, Mehmet; Yılmaz, Saynur; Gülerman, Cavidan

doi:10.1016/j.jcma.2016.07.004

Cited by 15 publications

(12 citation statements)

References 13 publications

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“…2018 Nov;7 (11):4615-4618 and borderline liquor groups compared to control group though not statistically significant similar as Akshaya K et al and Ashraf J et al 2,5 Several studies have reported significant increase in the incidence of LSCS and the indication for fetal distress among the oligohydramnios group and no significant difference in the borderline AFI group and normal group. 4,6,8 In present study, low Apgar score at 5 minute and admissions to NICU were significantly higher among the oligohydramnios group compared to the borderline and normal liquor group which was similar to various studies. 4,9 On the contrary certain studies have reported neonatal complications were higher among borderline liquor in comparison to normal liquor group.…”

Section: Discussionsupporting

confidence: 90%

“…9 Studies have reported no statistical difference in neonatal outcome among the oligohydramnios and borderline liquor. 6,8 In present study, there was a significant increase in low birth weight babies among the oligohydramnios group when compared to borderline and normal liquor groups which was similar to Locatelli et al 11 Certain studies have reported increased incidence of IUGR among pregnancies with borderline liquor compared to those with normal liquor. 7,9…”

Section: Discussionsupporting

confidence: 88%

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Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Thomas

Daniel

Selvaraj

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid provides a protective milieu for the growing fetus in pregnancy and labour. A decrease in the amniotic fluid volume has been associated with increased maternal morbidity and fetal morbidity and mortality. The purpose was to compare the effect of labour induction on the fetomaternal outcome in women with oligohydramnios, borderline liquor and normal liquor at term.Methods: A retrospective study of all the labour induction in women with oligohydramnios, borderline liquor and normal liquor volume at 37-42 weeks gestation in a tertiary care teaching hospital. The demographic characteristics, maternal outcomes like mode of delivery, indication for operative delivery, meconium stained liquor and perinatal outcomes were compared in between the three groups. Parametric data was compared by chi-square test and non-parametric data by students’-test. A p-value less than 0.05 was taken as significant.Results: Among the 2338 deliveries during the study period, labour was induced in 266 women (11.3%). Out of which, 109 cases (40.9%) in oligohydramnios group, 111cases (41.7%) in borderline liquor group and 46 cases in normal liquor group. The incidence of meconium stained liquor, the number of operative deliveries and fetal distress was significantly higher and significantly lower birth weight (<2.5 kg) in the group with oligohydramnios and borderline liquor (p <0.05). Low Apgar score and admission to neonatal intensive care unit was higher in the oligohydramnios group (p<0.05).Conclusions: Induction of labour on detecting borderline liquor at term may help in reduction of maternal and fetal morbidity and mortality.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 88%

Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Thomas

Daniel

Selvaraj

2018

Int J Reprod Contracept Obstet Gynecol

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“…Furthermore, it is important to note that none of the studies reported any uterine rupture so it was not possible to compare uterine rupture rate between the two methods, although this catastrophic situation should be always kept into mind [65,66]. In addition, the evidence based for cervical ripening for term induction, as well as caution of the using pharmacological agents or any mechanical methods for induction of labor should be always followed [67][68][69].…”

Section: Discussionmentioning

confidence: 99%

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Lee

Huang

Chen

et al. 2020

IJERPH

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Currently, there is no meta-analysis comparing intravaginal misoprostol plus intracervical Foley catheter versus intravaginal misoprostol alone for term pregnancy without identifying risk factors. Therefore, the purpose of this study is to conduct a systematic review and meta-analysis of randomized control trials (RCTs) comparing concurrent intravaginal misoprostol and intracervical Foley catheter versus intravaginal misoprostol alone for cervical ripening. We systematically searched Embase, Pubmed, and Cochrane Collaboration databases for randomized controlled trials (RCTs) comparing intracervical Foley catheter plus intravaginal misoprostol and intravaginal misoprostol alone using the search terms “Foley”, “misoprostol”, “cervical ripening”, and “induction” up to 29 January 2019. Data were extracted and analyzed by two independent reviewers including study characteristics, induction time, cesarean section (C/S), clinical suspicion of chorioamnionitis, uterine tachysystole, meconium stain, and neonatal intensive care unit (NICU) admissions. Data was pooled using random effects modeling and calculated with risk ratio (RR) and 95% confidence interval (CI). Pooled analysis from eight studies, including 1110 women, showed that labor induction using a combination of intracervical Foley catheter and intravaginal misoprostol decreased induction time by 2.71 h (95% CI −4.33 to −1.08, p = 0.001), as well as the risk of uterine tachysystole and meconium staining (RR 0.54, 95% CI 0.30–0.99 and RR 0.48, 95% CI 0.32–0.73, respectively) significantly compared to those using intravaginal misoprostol alone. However, there was no difference in C/S rate (RR 0.93, 95% CI 0.78–1.11) or clinical suspicion of chorioamnionitis rate (RR 1.22, CI 0.58–2.57) between the two groups. Labor induction with a combination of intracervical Foley catheter and intravaginal misoprostol may be a better choice based on advantages in shortening induction time and reducing the risk of uterine tachysystole and meconium staining compared to intravaginal misoprostol alone.

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“…Nevertheless, some indications for IOL after using Propess may cause unfavorable fetal conditions. Kansu-Celik et al, used Propess for IOL in women with oligohydramnios and the results showed an increased incidence of fetal distress in the Propess group compared with the normal control group (20 vs. 4.7%) [ 30 ]. This high proportion resulted in a high cesarean section rate [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Kansu-Celik et al, used Propess for IOL in women with oligohydramnios and the results showed an increased incidence of fetal distress in the Propess group compared with the normal control group (20 vs. 4.7%) [ 30 ]. This high proportion resulted in a high cesarean section rate [ 30 ]. In our study and the Tseng et al, study [ 29 ], the proportion of IOL in pregnant women with oligohydramnios was low (8/120 and 2/65, respectively).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

Ting

Ding

Wei

2022

JCM

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This retrospective study aimed to compare the safety and efficacy of Prostin E2 and Propess for the induction of labor (IOL) in nulliparous women between January 2018 and October 2021. The inclusion criteria were nulliparous, singleton, >37 weeks’ gestation, cephalic presentation with an unfavorable cervix (Bishop score ≤ 6), no signs of labor, and use of one form of dinoprostone (Prostin E2 or Propess) for IOL. The cesarean section (C/S) rate and induction-to-birth interval were the main outcome measures. In total, 120 women were recruited. Sixty (50%) patients received Propess and 60 (50%) received repeated doses of Prostin E2. The Prostin E2 and Propess groups had similar patient characteristics, but the Bishop score was significantly higher in the Propess group than in the Prostin E2 group; therefore, multivariate analysis was conducted, and the Bishop score was not associated with the induction-to-birth interval. The C/S rate was not significantly different between the two groups, but the Propess group achieved a shorter induction-to-birth interval, a higher rate of vaginal delivery in 24 h, and a lower number of vaginal examinations than the Prostin E2 group. Propess was effective and safe in IOL and could be an option for cervical ripening in nulliparous pregnancy.

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Prostaglandin E2 induction of labor and cervical ripening for term isolated oligohydramnios in pregnant women with Bishop score ≤ 5

Abstract: Dinoprostone appears to be a safe alternative for induction of labor in pregnancies with oligohydramnios. Induction of labor with dinoprostone in term pregnancies with isolated oligohydramnios is associated with increased rate of CS but there is no higher risk of perinatal complications.

Cited by 15 publications

References 13 publications

Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

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