title: Protocol audit of dinoprostone gel induction of labour.
abstract: This study aimed to evaluate dinoprostone gel induction of labour. A prospective observational study was conducted over six months in 2001. Themes explored include predictive indicators within the Modified Bishop's Score, timing between doses, timing of administration and number of doses administered. Labouring after one dose of dinoprostone gel is significantly related to a Modified Bishop's Score of > 4 (p = 0.005) and position of the cervix (p = 0.031) for all women, and for multiparous women cervical dilatation (p = 0.014). Timing of administration will not affect timing of delivery. There is no benefit in waiting more than six to eight hours between doses.
authors.affiliation: Executive Unit Women & Children's Health, L5 East Wing Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050 Australia.
authors.forename: Charlene
authors.initials: C
authors.lastname: Thornton
authors.forename: Michael
authors.initials: M
authors.lastname: Whaites
mesh_terms: D000328:Adult; D020070:Cervical Ripening / Q000187:drug effects*; D002985:Clinical Protocols; D003430:Cross-Sectional Studies; D015232:Dinoprostone / Q000008:administration & dosage*; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005260:Female; D005782:Gels / Q000008:administration & dosage; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced / Q000379:methods / Q000451:nursing*; D010120:Oxytocics / Q000008:administration & dosage*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D014622:Vaginal Creams, Foams, and Jellies / Q000008:administration & dosage
chemical_list: D005782:Gels; D010120:Oxytocics; D014622:Vaginal Creams, Foams, and Jellies; D015232:Dinoprostone