Perinatal Outcome of Vaginal Delivery induced by Prostaglandin E2 at low Bishop Score

Ali, Abd El-Naser Abd El-Gaber; Almolakab B Alrashedy, Mahmoud Ibrahim; Gad, Ibrahim Muhammad Ibrahim; Ahmed, Hazem Hashem

doi:10.21608/svuijm.2024.274882.1822

Perinatal Outcome of Vaginal Delivery induced by Prostaglandin E2 at low Bishop Score

Document Type : Original research articles

Authors

¹ Department of Obstetrics and Gynecology, Faculty of Medicine, South Valley University,Qena, Egypt.

² Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University (Assiut Branch), Assiut, Egypt

10.21608/svuijm.2024.274882.1822

Abstract

Background: The stimulation of uterine contractions prior to the spontaneous the start of labor, with or without ruptured membranes, is the definition of inducing of labor. The bishop scoring system is based on a digital cervical exam of a patient with a zero-point minimum and 13 points maximum.
Objectives: In order to determine the impact of prostaglandin E2 (PGE2) on the mode of delivery as a method of induction of labor in cases with low Bishop Score, identify possible predictors of successful vaginal delivery and investigate the delivery outcome in women who will have vaginal PGE2 for induction of labor.
Patients and methods: Prospective study on 60 pregnant women at Qena University Hospital from March 2022 to March 2023. Methods: Medical history, pelvic examination, obstetric ultrasound, NST, and cervical ripening with prostaglandin E2. Investigations: Urinalysis, CBC, coagulation profile.
Results: There were strong significant negative correlations between vaginal delivery and Induction to delivery interval p <0.0001. 2 patients had fever, one patient had nausea, one patient had vomiting and one patient had diarrhea. 5 patients had Neonatal intensive care unit admission. 2 patients had Respiratory Distress Grade 1. 3 patients had Respiratory Distress Grade 2. One patient had complete cervical tear. One patient had perineal tear. One patient had blood transfusion.
Conclusion: Safe and successful labor induction with PGE2 in low-risk pregnant women. Significant negative relationships were between vaginal delivery and bishop score, gestational age, and induction to delivery interval.

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