Efficiency and Safety of Vaginal Propess as an Approach for Cervical Ripening and Labour Induction in Full-Term Pregnant Patients in Indian Settings
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: Induction of labor is common in obstetric practice. Cervical ripening or preparedness for induction should be assessed before a regimen is selected. To investigate the efficiency and safety of vaginal Propess as a methodology for cervical ripening and labour induction in full-term pregnant patients. This retrospective observational study was carried out at Private Hospital in Pune city. Full term pregnant patients with Bishop score 5, singleton pregnancy, vertex presentation, unruptured membranes, and patients with only one prior cesarean delivery were included in the study. Vaginal Propess was used for cervical ripening and labour induction. Change in the Bishops score, induction to delivery interval, rate of vaginal delivery and caesarean section were calculated. Fetal and maternal outcomes were observed. Statistical analysis: Mean, Standard Deviation, Proportions, Percentages were used for descriptive statistics, and paired t test was used as test of significance. Total 50 patients were included in the study. Mean age of the patients was 29.5 years (S.D.=2.3 years). 35 (70%) patients were primi gravida. Mean Bishop Score on Admission was 2.74 (S.D.=1.08). Mean change in the Bishop’s score after vaginal propess was used for cervical ripening was 6.3 (S.D.=1.65). Mean change in the Bishop’s score was statistically significant (0.001). Mean induction to delivery interval was 13.6 hours (S.D.=4.45 hours). Rate of vaginal delivery was 51.61% and rate of caesarian section was 48.39%. Fetal outcome was good in all cases. No maternal complications were observed. Vaginal Propess was an effective and safe approach to promote cervical ripening and it was successfully used in induction of labour.
Authors and Affiliations
Dr. Bhakti Shriram Maslekar, Dr. Keskar Jagruti, Dr. Padmaja Shriram Maslekar, Dr. Mandar Dhamangaonkar, Dr. Maslekar Shriram, Dr. Pandve Harshal Tukaram
Keywords
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