open access

Vol 87, No 10 (2016)
Research paper
Published online: 2016-10-31
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Data comparison between pharmacological induction of labour and spontaneous delivery. A single centre experience

Roberta Granese, Gloria Calagna, Alessandro Sollano, Stefania Mondello, Angela Sicilia, Roberta Grasso, Gaspare Cucinella, Onofrio Triolo
·
Pubmed: 27958621
·
Ginekol Pol 2016;87(10):697-700.

open access

Vol 87, No 10 (2016)
ORIGINAL PAPERS Obstetrics
Published online: 2016-10-31

Abstract

Objectives: To assess the differences in the maternal and fetal outcomes between pharmacological induced and sponta­neous labour in nulliparous women.

Material and methods: Observational cohort study carried out over a period of 2 years. Inclusion criteria: nulliparous sin­gleton pregnancies, with cephalic fetal presentation, elective labour induction with intra-vaginal prostaglandin E2 (PGE2) gel (Prepidil® 2 mg) at a gestational age of 41 weeks. Control group: patients who entered labour spontaneously at a gestational age of ≥ 40 weeks. The main demographic maternal characteristics and intra- and postpartum data were extracted from computer records and obstetrics diaries and were used for the analysis.

Results: One hundred and three patients with induction of labour and 97 with spontaneous labour were enrolled. Cesarean delivery was performed in 18 cases (17.5%), all in the induction group. There were no differences in newborn weights between the 2 groups while both the 1-minute and 5-minute Apgar scores were significantly higher in the spontaneous group (p = 0.014 and p = 0.0003, respectively). Women in the induction group had a significantly longer duration of I stage labour in comparison with spontaneous group (p < 0.0001).

Conclusions: Primiparous women whose labour was induced spent a longer time in labour than women who presented in spontaneous labour. Clinicians should keep in mind that a slow rate of dilation in a woman being induced may be normal. For this reason, an arrest diagnosis needs to be carefully considered.

Abstract

Objectives: To assess the differences in the maternal and fetal outcomes between pharmacological induced and sponta­neous labour in nulliparous women.

Material and methods: Observational cohort study carried out over a period of 2 years. Inclusion criteria: nulliparous sin­gleton pregnancies, with cephalic fetal presentation, elective labour induction with intra-vaginal prostaglandin E2 (PGE2) gel (Prepidil® 2 mg) at a gestational age of 41 weeks. Control group: patients who entered labour spontaneously at a gestational age of ≥ 40 weeks. The main demographic maternal characteristics and intra- and postpartum data were extracted from computer records and obstetrics diaries and were used for the analysis.

Results: One hundred and three patients with induction of labour and 97 with spontaneous labour were enrolled. Cesarean delivery was performed in 18 cases (17.5%), all in the induction group. There were no differences in newborn weights between the 2 groups while both the 1-minute and 5-minute Apgar scores were significantly higher in the spontaneous group (p = 0.014 and p = 0.0003, respectively). Women in the induction group had a significantly longer duration of I stage labour in comparison with spontaneous group (p < 0.0001).

Conclusions: Primiparous women whose labour was induced spent a longer time in labour than women who presented in spontaneous labour. Clinicians should keep in mind that a slow rate of dilation in a woman being induced may be normal. For this reason, an arrest diagnosis needs to be carefully considered.

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Keywords

induction of labour, spontaneous labour, neonatal outcome, prostaglandin E2

About this article
Title

Data comparison between pharmacological induction of labour and spontaneous delivery. A single centre experience

Journal

Ginekologia Polska

Issue

Vol 87, No 10 (2016)

Article type

Research paper

Pages

697-700

Published online

2016-10-31

Page views

1559

Article views/downloads

2333

DOI

10.5603/GP.2016.0070

Pubmed

27958621

Bibliographic record

Ginekol Pol 2016;87(10):697-700.

Keywords

induction of labour
spontaneous labour
neonatal outcome
prostaglandin E2

Authors

Roberta Granese
Gloria Calagna
Alessandro Sollano
Stefania Mondello
Angela Sicilia
Roberta Grasso
Gaspare Cucinella
Onofrio Triolo

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