The role of dinoprostone for labor induction in postterm and high-risk term pregnancies

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dc.contributor.authorUrunsak, I. F.
dc.contributor.authorGulec, U. K.
dc.contributor.authorEser, E.
dc.contributor.authorSucu, M.
dc.contributor.authorAkcabay, C.
dc.contributor.authorBuyukkurt, S.
dc.date.accessioned2024-11-07T13:32:24Z
dc.date.available2024-11-07T13:32:24Z
dc.date.issued2020
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractPurpose: To determine the effect of controlled release vaginal dinoprostone (CRVD) in post-term and high-risk term pregnancies on successful ripening, the length of active labour, the total time for delivery, route of delivery, and maternal-neonatal outcomes. Methods: We performed a retrospective study on women undergoing cervical ripening with CRVD. A total of 94 post-term pregnancies (group 1) were compared with 138 high-risk pregnancies requiring labour induction due to maternal and/or fetal indications at term (group 2). The primary outcome of the study was vaginal delivery within 24 hours. Length of active labour, the total time for delivery, route of delivery and maternal and neonatal outcomes were evaluated as secondary outcomes. Results: Vaginal delivery rates were 73.4% (69/94) and 81.9% (113/138) in groups 1 and 2, respectively (p = 0.123). The mean delivery lengths were 16.6 +/- 9.5 and 16 +/- 8.9 hours in groups 1 and 2, respectively (p = 0.259). Both groups were also similar regarding the length of active labour (9.3 +/- 6.7 and 9.6 +/- 6.8 hours; p = 0.717). Cesarean section rates were 23.4% and 13% in groups 1 and 2, respectively (p = 0.04). There were no differences in maternal and neonatal outcomes between the groups. Conclusion: Our study showed that dinoprostone is effective for labour induction, particularly in high-risk term pregnancies.
dc.identifier.doi10.31083/j.ceog.2020.05.5426
dc.identifier.endpage668
dc.identifier.issn0390-6663
dc.identifier.issue5
dc.identifier.scopus2-s2.0-85095773532
dc.identifier.scopusqualityQ4
dc.identifier.startpage664
dc.identifier.urihttps://doi.org/10.31083/j.ceog.2020.05.5426
dc.identifier.urihttps://hdl.handle.net/11480/15395
dc.identifier.volume47
dc.identifier.wosWOS:000581561900034
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherImr Press
dc.relation.ispartofClinical and Experimental Obstetrics & Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectDinoprostone
dc.subjectHigh-risk pregnancy
dc.subjectInduction of labour
dc.subjectOxytocin
dc.subjectPost-term pregnancy
dc.titleThe role of dinoprostone for labor induction in postterm and high-risk term pregnancies
dc.typeArticle

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