title: Oxytocin versus dinoprostone vaginal insert for induction of labor after previous cesarean section: a retrospective comparative study.
abstract: To compare the efficacy and safety of two methods for induction of labor after previous cesarean section.
  
  
  
  To compare 247 women with a previous cesarean section who were induced with a dinoprostone vaginal insert and 279 women with a previous cesarean section induced with oxytocin, between 2001 and 2008. We evaluated vaginal delivery rate, maternal morbidity and newborn morbidity and mortality.
  
  
  
  The overall rate of vaginal delivery was 65.2%. We did not find significant differences between induction with dinoprostone vaginal insert and oxytocin in the rate of cesarean section performed (35.6% vs. 34.1%, P=0.71). There were nine cases of uterine rupture (rate of 1.7%), of which four occurred with dinoprostone vaginal insert and five when using oxytocin (P=0.89). We found no significant differences in neonatal outcomes.
  
  
  
  Both tested methods appear to be equally safe and effective for induction of labor in women with a previous cesarean section.
authors: Department of Obstetrics and Gynecology, Cruces University Hospital, Biscay, Spain. leirerogo@gmail.com
authors: Leire Rodríguez
authors: LR
authors: Gómez
authors: Jorge
authors: J
authors: Burgos
authors: Patricia
authors: P
authors: Cobos
authors: Juan Carlos
authors: JC
authors: Melchor
authors: Carmen
authors: C
authors: Osuna
authors: Maria del Mar
authors: Mdel M
authors: Centeno
authors: Rosa
authors: R
authors: Larrieta
authors: Luis
authors: L
authors: Fernández-Llebrez
authors: Txantón
authors: T
authors: Martínez-Astorquiza