title: Is induction of labour by Propess(®) safe? A comparison of midwife-led versus obstetrician-led labour management.
abstract: This retrospective study compared maternal and fetal outcomes after labour induction, using a dinoprostone vaginal pessary (Propess(®)) in midwife-led and obstetrician-led labour management. Labour induction outcomes, delivery mode and rates of admission to the neonatal intensive care unit were compared. A total of 405 women, 40.5% (n = 164) from midwife-led units and 59.5% (n = 241) from an obstetrician-led unit, participated. There was no statistically significant difference between the two groups in caesarean section rate or neonatal intensive care unit admission rates (p = 0.789 and 0.769, respectively). Non-reassuring fetal non-stress test and uterine hyperstimulation risks were higher in the obstetrician-led unit (p = 0.003 and 0.001, respectively, and odds ratio (OR) 0.165, 95% CI: 0.117-0.232 and OR 0.218, 95% CI: 0.078-0.611, respectively). Postpartum blood transfusion rate was higher in the midwife-led units (p = 0.002, OR 8.082, 95% CI: 1.879-39.292). Labour induction with Propess(®) is safe during both midwife-led and obstetrician-led labour management.
authors.affiliation: Department of Obstetrics and Gynaecology, School of Medicine, Recep Tayyip Erdogan University , Rize.
authors.forename: Y
authors.initials: Y
authors.lastname: Bayoglu Tekin
authors.forename: U
authors.initials: U
authors.lastname: Mete Ural
authors.forename: O Secilmis
authors.initials: OS
authors.lastname: Kerimoglu
authors.forename: G
authors.initials: G
authors.lastname: Balik
authors.forename: F
authors.initials: F
authors.lastname: Kir Sahin
authors.forename: E S
authors.initials: ES
authors.lastname: Guvendag Guven
mesh_terms: D000282:Administration, Intravaginal; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D015232:Dinoprostone / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D008880:Midwifery / Q000379:methods / Q000706:statistics & numerical data; D010120:Oxytocics / Q000008:administration & dosage; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D012189:Retrospective Studies; D014421:Turkey / Q000453:epidemiology; D014590:Uterine Contraction / Q000187:drug effects*; D018590:Uterine Monitoring / Q000379:methods
chemical_list: D010120:Oxytocics; D015232:Dinoprostone
keywords: Dinoprostone; Propess®; fetal monitoring; labour induction; midwife-led unit; safety