A comparison of induction with vaginal prostaglandin E2 versus spontaneous of labor in grand multiparous women
Zamzami, T.Y.Yamani.
Archives of Gynecology and Obstetrics 273(3): 176-179
2005
ISSN/ISBN: 0932-0067 PMID: 16160873 DOI: 10.1007/s00404-005-0066-2Document Number: 261406
Objective: To compare the outcome of labor in grand multiparous women (para 6 or more) who had induction of labor with vaginal prostaglandin E,with grand multiparous women in spontaneous labor. Methods: A retrospective case-control study was performed, 202 grand multiparous women were induced labor with vaginal prostaglandin E-2 and compared with outcomes with grand multiparous women who entered in spontaneous labor and delivered during the same study period and served as control group. Results: There were no statistically significant differences in the duration of labor, fetal birth weight, use of oxytocin augmentation, and Apgar scores in the two groups. Fourteen women (6.9%) in the induction group delivered by cesarean section compared to six woman (3.0%) in the control group. This was a statistically significant difference (P=0.01). In the induction group, the mean duration of the hospital stay was longer (P=0.003) and there was one neonatal fetal death and one uterus rupture. Conclusion: Induction of labor with vaginal prostaglandin E, in grand multiparous women is still relatively safe.
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