ĐÁNH GIÁ HIỆU QUẢ CỦA PHƯƠNG PHÁP KHỞI PHÁT CHUYỂN DẠ BẰNG PROPESS TRÊN THAI PHỤ CÓ THAI ĐỦ THÁNG TẠI BỆNH VIỆN SẢN NHI TỈNH PHÚ THỌ

Abstract

Background: Induction of labor (IOL) is an active intervention aimed at initiating uterine contractions and cervical ripening like spontaneous labor, with the goal of delivering the fetus vaginally before the onset of natural labor. Objective: To evaluate the effectiveness of labor induction using Propess. Subjects and Methods: This cross-sectional retrospective study analyzed medical records of pregnant women in 2023. Results: The study was conducted on 70 pregnant women. Oxytocin was not used in 90.0% of cases and was administered in 10.0%; 57.2% did not use cervical ripening agents, while 42.8% did; only 4.2% received epidural anesthesia. Primiparascipants had no history of medical conditions (97.1%); primiparas accounted for 68.6% and multiparas for 31.4%. The time from induction to delivery was predominantly 6–12 hours (45.7%), followed by <6 hours (28.6%) and >12 hours (25.7%). Cesarean section was performed in 55.7% of cases, while 44.3% delivered vaginally. The failure rate of induction was 12.8%; the success rate in the latent phase was 87.1%, in the active phase was 70.0%, and the rate of successful induction leading to vaginal delivery was 38.6%. APGAR scores >7 at birth were recorded in 97.2% of neonates, and <7 in 2.8%; mean neonatal birth weight was 3197 ± 355 g (range: 2200–3800 g). The most common complication was uterine hyperstimulation (25.7%); no cases of uterine rupture, postpartum hemorrhage, or infection were reported. Conclusion: The use of Propess is highly effective and safe for term labor induction, with a low incidence of severe obstetric complications.