EFFECTIVENESS AND SAFETY OF DINOPROSTONE INDUCED LABOR IN POST-TERM PREGNANCY WITH IMPROVED BISHOP SCORE <6 AT CAN THO CITY OBSTETRICS AND GYNECOLOGY HOSPITAL IN 2024
Main Article Content
Abstract
Background: Labor induction (LI) is a common obstetric intervention to assist the mother in delivering vaginally, reducing the cesarean section rate, with success typically measured by the Bishop score. Recently, combining ultrasound measurement of cervical length with the traditional Bishop score has improved the effectiveness of labor induction. Objectives: Survey on the effectiveness and safety of vaginally administered Dinoprostone for cervical ripening and the clinical characteristics of labor induction in post-term pregnancies with a modified Bishop score <6 and no contraindications for vaginal delivery. Materials and methods: A cross-sectional descriptive study with analysis was conducted on 65 cases of post-term pregnancies indicated for labor induction with Dinoprostone at Can Tho City Obstetrics and Gynecology Hospital in 2024, with cervical assessment using the modified Bishop score. Results: The success rate of labor induction (LI) in post-term pregnancies with indicated LI was 64.62%. The factor related to successful IOL is the improved Bishop score before induction (OR = 0.677, 95% CI [0.464-0.986], p = 0.042). Factors influencing vaginal delivery include obstetric history, the Bishop score after IOL, and birth weight. Adverse effects include CTG category II (9.2%), hypertonic uterine contractions (30.7%), with 6.2% requiring cesarean delivery due to non-adjustable conditions. No cases of postpartum hemorrhage, infection, jaundice, or respiratory distress in the newborn were reported, and there were no severe allergic reactions or side effects from the drug insertion. Conclusion: Propess is an effective and safe method for favorable cervical ripening and promoting successful labor induction. The modified Bishop score helps predict the likelihood of successful labor induction.
Article Details
Keywords
Labor induction, modified Bishop score,, Dinoprostone
References

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