A comparison of single prostaglandin E2 vaginal tablet with prostaglandin E2 vaginal pessaries for induction of labor at term.
This study represents the first of its kind in Kuwait. Two preparations of prostaglandin E2 (PGE2) have been compared as agents for induction of labor. In a randomized controlled study of 200 women of low parity and unfavorable cervical induction features induction of labor by means of a single vaginal tablets of PGE2 was compared with locally prepared PGE2 vaginal pessaries. The gradual increase of uterine contractions and the establishment of labor in a similar way to that observed during spontaneous labor was more apparent after PGE2 tablets. Labor induction was successful in 80% of patients in PGE2 tablet group compared with 59% in PGE2 pessaries group. The incidence of cesarean section was equal in both groups (4%), but none was performed due to uterine hyperactivity. The data presented indicate that the PGE2 vaginal tablet is safe and effective in induction of labor in healthy women at term.
el-Mardi
A A
AA
Department of Obstetrics and Gynaecology, Maternity Hospital, Safat, Kuwait.
el-Qarmalawi
M A
MA
Siddik
M
M
el-Haroni
A
A
Ammar
A
A
Madkoor
S A
SA
D000282:Administration, Intravaginal; D000328:Adult; D000650:Amnion / Q000601:surgery; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods / Q000706:statistics & numerical data; D015232:Dinoprostone / Q000008:administration & dosage* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000379:methods*; D010570:Pessaries / Q000592:standards*; D011247:Pregnancy; D014620:Vacuum Extraction, Obstetrical / Q000706:statistics & numerical data
D015232:Dinoprostone