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Int J Gynaecol Obstet · Jun 1999
Clinical TrialInduction of labor with vaginal prostaglandin-E2 in grand multiparous women with one previous cesarean section.
- T Y Yamani and A A Rouzi.
- Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
- Int J Gynaecol Obstet. 1999 Jun 1;65(3):251-3.
ObjectiveTo review the outcome of induction of labor with vaginal prostaglandin-E2 in grand multiparous women with one previous cesarean section.MethodsTwenty-six grand multiparous women with one previous cesarean section were induced with vaginal prostaglandin-E2.ResultsTwenty (76.9%) women delivered vaginally and six (23.1%) women delivered by emergency cesarean section. The mean duration of labor was 6 +/- 3.6 h. There was no uterine rupture or dehiscence. There was one neonatal death and two stillbirths.ConclusionsOur limited study suggests that induction of labor with vaginal prostaglandin-E2 in selected grand multiparous women with one previous cesarean section may be a reasonable option. However, further studies are needed to document its safety.
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