Induction of labor with vaginal prostaglandin-E2 in grand multiparous women with one previous cesarean section.
OBJECTIVE
To review the outcome of induction of labor with vaginal prostaglandin-E2 in grand multiparous women with one previous cesarean section.


METHODS
Twenty-six grand multiparous women with one previous cesarean section were induced with vaginal prostaglandin-E2.


RESULTS
Twenty (76.9%) women delivered vaginally and six (23.1%) women delivered by emergency cesarean section. The mean duration of labor was 6 +/- 3.6 h. There was no uterine rupture or dehiscence. There was one neonatal death and two stillbirths.


CONCLUSIONS
Our limited study suggests that induction of labor with vaginal prostaglandin-E2 in selected grand multiparous women with one previous cesarean section may be a reasonable option. However, further studies are needed to document its safety.
Yamani
T Y
TY
Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Rouzi
A A
AA
D000328:Adult; D002585:Cesarean Section; D015232:Dinoprostone / Q000008:administration & dosage*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015552:Injections, Intralesional; D007751:Labor, Induced / Q000379:methods*; D010120:Oxytocics / Q000008:administration & dosage*; D010298:Parity; D011247:Pregnancy; D011256:Pregnancy Outcome; D014621:Vagina / Q000187:drug effects
D010120:Oxytocics; D015232:Dinoprostone