Eligibility criteria for labor induction with prostaglandins.
Particular conditions exist at the end of some pregnancies which cause an increase in maternal and fetal risk. A valid alternative for these pregnancies is represented by the administration of prostaglandins, in order to obtain labor induction. The goal of our study was to define the eligibility criteria and the epidemiological characteristics that correlate most with a favorable obstetrical outcome. The study was conducted on 133 informed, consenting patients subjected to labor-induced delivery with prostaglandins E2. The mode of delivery in relationship to parity demonstrated that the pluriparous patients had fewer difficulties in labor and in its induction: of the 43 pluriparous cases, none had a cesarean section for failed induction and 95.3% delivered vaginally. One hundred percent of the patients with a Bishop score of more than 4 went into labor, as opposed to 81% of the patients with a score of less than 4. Therefore, taking into consideration the cost of the method, we retain that choosing an active position is valid, respecting the eligibility criteria for the induction of labor described above.
Alberico
S
S
Institute of Obstetrics and Gynecology, University of Trieste, Italy.
Fadalti
M
M
Grimaldi
E
E
De Seta
F
F
Mazza
S
S
Guaschino
S
S
D000328:Adult; D002585:Cesarean Section; D015232:Dinoprostone / Q000009:adverse effects / Q000627:therapeutic use*; D005260:Female; D005317:Fetal Growth Retardation; D005322:Premature Rupture of Fetal Membranes; D005865:Gestational Age; D006801:Humans; D007751:Labor, Induced / Q000379:methods*; D010298:Parity; D011247:Pregnancy; D011273:Pregnancy, Prolonged
D015232:Dinoprostone