Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis
Background: To evaluate the outcomes and process of labour induction following the introduction of a new vaginal device with slow releasing dinoprostone (Propess). Methods: Data were collected on the indications for labour induction, the process of induction and delivery, and the outcomes of deliver...
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| Format: | Article |
| Language: | English |
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IMR Press
2021-06-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/48/3/10.31083/j.ceog.2021.03.2440 |
| _version_ | 1818005942654992384 |
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| author | Veronika Anzeljc Faris Mujezinović |
| author_facet | Veronika Anzeljc Faris Mujezinović |
| author_sort | Veronika Anzeljc |
| collection | DOAJ |
| description | Background: To evaluate the outcomes and process of labour induction following the introduction of a new vaginal device with slow releasing dinoprostone (Propess). Methods: Data were collected on the indications for labour induction, the process of induction and delivery, and the outcomes of delivery for 171 term pregnancies between 1 January 2020 and 31 August 2020. Excluded from this study were patients with preterm delivery, multiple pregnancies, or pre-labour rupture of membranes. Data for the standard dinoprostone medication (PG) and Propess groups was analysed and compared. Results: Of the 93 women (54.4% of total) induced in the PG group, 55 (59.1%) received Prostin tablets, 17 (18.3%) received 1 mg of Prostin gel, and 21 (22.6%) received 2 mg of Prostin gel. Seventy eight women (45.6%) received the new intravaginal device (Propess group). The five most frequent indications for labour induction were post-term pregnancy (53, 31.0%), GDM (42, 24.6%), oligohydramnios (30, 17.5%), IUGR (21, 12.3%), and hypertensive disease (20, 11.7%). The Bishop scores were unfavourable in the majority of cases (119, 69.6%). The length of induction was less than 24 hours in 134 women (78.4%). Oxytocin was used more frequently (p = 0.001) in the Propess group and these women underwent more frequent caesarean section (20.5% vs 12.9%, p = 0.31). The status of babies was good in both groups. Conclusion: Introduction of the Propess device to mainstream medical practice has led to rapid implementation and resulted in improved workflow and positive outcomes for both the baby and mother. |
| first_indexed | 2024-04-14T04:52:31Z |
| format | Article |
| id | doaj.art-e179ba3a887b4e0198bff78552d6b120 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-04-14T04:52:31Z |
| publishDate | 2021-06-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-e179ba3a887b4e0198bff78552d6b1202022-12-22T02:11:14ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-06-0148361562710.31083/j.ceog.2021.03.2440S0390-6663(21)00158-5Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysisVeronika Anzeljc0Faris Mujezinović1Department of Perinatology, University Medical Centre Maribor, 2000 Maribor, SloveniaDepartment of Perinatology, University Medical Centre Maribor, 2000 Maribor, SloveniaBackground: To evaluate the outcomes and process of labour induction following the introduction of a new vaginal device with slow releasing dinoprostone (Propess). Methods: Data were collected on the indications for labour induction, the process of induction and delivery, and the outcomes of delivery for 171 term pregnancies between 1 January 2020 and 31 August 2020. Excluded from this study were patients with preterm delivery, multiple pregnancies, or pre-labour rupture of membranes. Data for the standard dinoprostone medication (PG) and Propess groups was analysed and compared. Results: Of the 93 women (54.4% of total) induced in the PG group, 55 (59.1%) received Prostin tablets, 17 (18.3%) received 1 mg of Prostin gel, and 21 (22.6%) received 2 mg of Prostin gel. Seventy eight women (45.6%) received the new intravaginal device (Propess group). The five most frequent indications for labour induction were post-term pregnancy (53, 31.0%), GDM (42, 24.6%), oligohydramnios (30, 17.5%), IUGR (21, 12.3%), and hypertensive disease (20, 11.7%). The Bishop scores were unfavourable in the majority of cases (119, 69.6%). The length of induction was less than 24 hours in 134 women (78.4%). Oxytocin was used more frequently (p = 0.001) in the Propess group and these women underwent more frequent caesarean section (20.5% vs 12.9%, p = 0.31). The status of babies was good in both groups. Conclusion: Introduction of the Propess device to mainstream medical practice has led to rapid implementation and resulted in improved workflow and positive outcomes for both the baby and mother.https://www.imrpress.com/journal/CEOG/48/3/10.31083/j.ceog.2021.03.2440induction of labourintravaginal deviceoutcome of labour induction |
| spellingShingle | Veronika Anzeljc Faris Mujezinović Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis Clinical and Experimental Obstetrics & Gynecology induction of labour intravaginal device outcome of labour induction |
| title | Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis |
| title_full | Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis |
| title_fullStr | Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis |
| title_full_unstemmed | Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis |
| title_short | Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis |
| title_sort | caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device retrospective analysis |
| topic | induction of labour intravaginal device outcome of labour induction |
| url | https://www.imrpress.com/journal/CEOG/48/3/10.31083/j.ceog.2021.03.2440 |
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