Prostaglandin E2Gel Induction of Patients with a Prior Low Transverse Cesarean Section
- 4 March 1992
- journal article
- clinical trial
- Published by Georg Thieme Verlag KG in American Journal of Perinatology
- Vol. 9 (02) , 80-83
- https://doi.org/10.1055/s-2007-994676
Abstract
To determine safety and efficacy of induction with prostaglandin E2 gel, we compared the outcome of 25 patients (study group) with an unfavorable cervix, a medical indication for delivery, and one prior low cervical transverse cesarean section to 56 patients (comparison group) with one prior low cervical transverse cesarean section and spontaneous labor. We placed 1 mg of prostaglandin E2 in gel intracervically in the 25 study patients. Common indications for delivery were: diabetes, post dates, and pre-eclampsia. Although most labor and delivery variables were similar, the study group had a longer mean latent phase (14.2 ± 13.8 versus 7.3 ± 3.7 hours: p 2 gel use in patients with a prior low cervical transverse cesarean section may be useful and relatively safe, it may be time to attempt randomized trials of prostaglandin E2 gel versus oxytocin for induction of patients with a prior low cervical transverse cesarean section, unfavorable cervix, and a medical indication for deliveryKeywords
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