Objective. To prospectively evaluate the outcome of labor induction in women with oligohydramnios at term. Methods. This was a prospective case-control study which included 120 consecutive patients with Amniotic Fluid Index (AFI) <= 5 undergoing labor induction. One hundred and sixteen patients with normal amniotic fluid matched for gestational age (+/- 3 days) and Bishop-score served as controls. Inclusion criteria were: requirement of labor induction, singleton pregnancy, nulliparity, Bishop score <5, gestational age >= 266. Preinduction treatment included the use of up to 3 successive doses of dinoprostone intracervical gel (0.5 mg). Vaginal dinoprostone (2 mg) and/or oxytocin were then applied to induction labor, if necessary. Results. The rate of cesarean section in AFI <= 5 group (38.3%) was not significantly different to that in control group (34.2%). The interval from induction to vaginal delivery was not significantly different for AFI <= 5 group (1499 +/- 895 min.) and control group (1398 +/- 852 min.). The changes in Bishop score evaluated at 6th and 12th hour after dinoprostone were not significantly different in control and AFI <= 5 group. More women in the latter group (11.7% vs 3.3%, Chi Square: 4.86, p=0.027) required the use of drugs in order to manage tachysystole/hyperstimulation allowing a OR=3.83 (95% C.I.=1.13-14.27). The length of stay at hospital was 4.2 +/- 1.8 days for AFI 45 group and 4.3 +/- 1.3 for control group. Conclusions. Oligohydranmios at term did not influence the outcome of induction of labour in nulliparous women with unfavorable cervix.

Induction of labour in women with oligohydramnios / P., Venturini; G., Contu; V., Mazza; Facchinetti, Fabio. - In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE. - ISSN 1476-7058. - STAMPA. - 17:(2005), pp. 129-132.

Induction of labour in women with oligohydramnios

FACCHINETTI, Fabio
2005

Abstract

Objective. To prospectively evaluate the outcome of labor induction in women with oligohydramnios at term. Methods. This was a prospective case-control study which included 120 consecutive patients with Amniotic Fluid Index (AFI) <= 5 undergoing labor induction. One hundred and sixteen patients with normal amniotic fluid matched for gestational age (+/- 3 days) and Bishop-score served as controls. Inclusion criteria were: requirement of labor induction, singleton pregnancy, nulliparity, Bishop score <5, gestational age >= 266. Preinduction treatment included the use of up to 3 successive doses of dinoprostone intracervical gel (0.5 mg). Vaginal dinoprostone (2 mg) and/or oxytocin were then applied to induction labor, if necessary. Results. The rate of cesarean section in AFI <= 5 group (38.3%) was not significantly different to that in control group (34.2%). The interval from induction to vaginal delivery was not significantly different for AFI <= 5 group (1499 +/- 895 min.) and control group (1398 +/- 852 min.). The changes in Bishop score evaluated at 6th and 12th hour after dinoprostone were not significantly different in control and AFI <= 5 group. More women in the latter group (11.7% vs 3.3%, Chi Square: 4.86, p=0.027) required the use of drugs in order to manage tachysystole/hyperstimulation allowing a OR=3.83 (95% C.I.=1.13-14.27). The length of stay at hospital was 4.2 +/- 1.8 days for AFI 45 group and 4.3 +/- 1.3 for control group. Conclusions. Oligohydranmios at term did not influence the outcome of induction of labour in nulliparous women with unfavorable cervix.
17
129
132
Induction of labour in women with oligohydramnios / P., Venturini; G., Contu; V., Mazza; Facchinetti, Fabio. - In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE. - ISSN 1476-7058. - STAMPA. - 17:(2005), pp. 129-132.
P., Venturini; G., Contu; V., Mazza; Facchinetti, Fabio
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/305475
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