| Autor: |
Gómez, Leire Rodríguez, Burgos, Jorge, Cobos, Patricia, Melchor, Juan Carlos, Osuna, Carmen, Centeno, Maria del Mar, Larrieta, Rosa, Fernández-Llebrez, Luis, Martínez-Astorquiza, Txantón |
| Předmět: |
|
| Zdroj: |
Journal of Perinatal Medicine; Jul2011, Vol. 39 Issue 4, p397-402, 6p, 6 Charts |
| Abstrakt: |
Objective: To compare the efficacy and safety of two methods for induction of labor after previous cesarean section. Methods: To compare 247 women with a previous cesarean section who were induced with a dinoprostone vaginal insert and 279 women with a previous cesarean section induced with oxytocin, between 2001 and 2008. We evaluated vaginal delivery rate, maternal morbidity and newborn morbidity and mortality. Results: The overall rate of vaginal delivery was 65.2%. We did not find significant differences between induction with dinoprostone vaginal insert and oxytocin in the rate of cesarean section performed (35.6% vs. 34.1%, P=0.71). There were nine cases of uterine rupture (rate of 1.7%), of which four occurred with dinoprostone vaginal insert and five when using oxytocin (P=0.89). We found no significant differences in neonatal outcomes. Conclusions: Both tested methods appear to be equally safe and effective for induction of labor in women with a previous cesarean section. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
