[Current practice and results of labor induction].
BACKGROUND
The role of labor induction has been gradually increasing in the last decade all over Europe due to the early detection of fetal jeopardy, improvement of neonatal therapy and availability of cervical ripening agents. Success rate of vaginal delivery depends on maternal, fetal condition and cervical status.


METHODS
Authors report the outcome of 795 labor inductions during the period from 1996 to 2000 at the Department of Obstetrics and Gynecology at the University of Debrecen, Hungary. Preinduction cervical ripening and induction method was based on Bishop score and clinical situation.


RESULTS
The rate of induced labor was 5.97% out of 13312 consecutive deliveries. The outcome of induction is discussed in details. The caesarean section rate after induction of vaginal delivery was 25% in this high risk group, and 33.3% among the total number of inductions.


CONCLUSIONS
The clinical application of prostaglandins for cervical ripening among high risk pregnant women facilitates the decision of labor induction and provides a favourable rate of vaginal deliveries.
Csorba
Roland
R
Debreceni Egyetem, Orvos- és Egézségtudományi Centrum, Altalános Orvostudományi Kar, Szülészeti és Nógyógyászati Klinika.
Aranyosi
János
J
Juhász
Gábor
G
Zatik
János
J
Major
Tamás
T
D000328:Adult; D020070:Cervical Ripening; D002585:Cesarean Section; D015232:Dinoprostone / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006814:Hungary; D007746:Labor Presentation; D007751:Labor, Induced / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data / Q000639:trends; D007744:Obstetric Labor Complications / Q000517:prevention & control*; D010120:Oxytocics / Q000008:administration & dosage; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D014620:Vacuum Extraction, Obstetrical
D010120:Oxytocics; D015232:Dinoprostone