Induction of labor in grand multiparous women with previous cesarean delivery: how safe is this?
OBJECTIVE
To compare the outcome of induced and spontaneous labor in grand multiparous women with one previous lower segment cesarean section (CS), so that the safety of labor induction could be assessed.


METHODS
In 102 women (study group), labor was induced and the outcome was compared with 280 women (control group) who went into spontaneous labor. All 382 women were grand multiparous and had one previous CS.


RESULTS
There were no significant difference in oxytocin augmentation, CS, scar dehiscence, fetal birth weight or apgar scores between groups. There was one neonatal death, two still births, one early neonatal death and one congenital malformation in the study group and this was not significant. There was no significant difference in vaginal birth in the study (80.9%) and the control group (83.8%).


CONCLUSIONS
In this moderate-sized study, induction of labor may be a safe option in grand multiparous women, if there is no absolute induction for repeating CS.
Department of Obstetrics and Gynecology, Faculty of Medicine, Kuwait University , Kuwait and.
Rachana
R
Chibber
Jehad
J
Al-Harmi
Mohamed
M
Foda
Zeinab
Z
Mohammed K
Eyad
E
Al-Saleh
Asiya Tasneem
AT
Mohammed
D002585:Cesarean Section; D015232:Dinoprostone / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007730:Kuwait; D007751:Labor, Induced / Q000379:methods*; D007743:Labor, Obstetric; D010120:Oxytocics / Q000008:administration & dosage; D010298:Parity; D011247:Pregnancy; D011256:Pregnancy Outcome; D016064:Vaginal Birth after Cesarean
D010120:Oxytocics; D015232:Dinoprostone
Adverse maternal or neonatal outcome; placenta previa and accrete; prostaglandin E2; risk factors; spontaneous labor