Comparison of the efficiency of labor induction in full term and late term pregnancies
Objective. To compare the efficiency of labor induction in full term (284–285 days) and late term (> 287 days) pregnancies.Baev O.R., Babich D.A.
Subjects and methods. The investigation enrolled 129 patients (78 patients with full term pregnancy and 51 with late term pregnancy) having indications for labor induction. A double-balloon catheter for preparing the cervix was inserted for 12 hours. After catheter removal, according to the ripening of the cervix uteri, the latter was additionally prepared using dinoprostone gel or amniotomy (oxytocin-induced labor induction in the absence of an effect).
Results. Labor was started with the inserted balloon in 35.9% of full term pregnancies versus 23.53% of late term ones (p = 0.003). The balloon insertion to delivery interval was shorter in the full term pregnancy group
(p = 0.04). The vaginal delivery rate within 24 hours after balloon insertion was higher in the full term pregnancy group (75.64% versus 49.02% (p = 0.002)). The rate of failed induction of labor, uterine inertia, and cesarean section was higher in the late term pregnancy group (1.28% versus 13.73%) (p = 0.02) (3.85% versus 17.65%)
(p = 0.01), 16.67% versus 31.37% (p = 0.04), respectively. All babies were born alive. The newborns from mothers in the late term pregnancy group more frequently showed signs of over-maturity (2.56% versus 13.73% (p = 0.02).
Conclusion. Labor induction proved to be more effective in the full term pregnancy group than in the late term pregnancy group.
Keywords
cervical preparation for labor
childbirth induction
labor induction
double-balloon catheter
cervix uteri
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Received 06.11.2019
Accepted 29.11.2019
About the Authors
Oleg R. Baev, M.D., Ph.D., Professor, the head of the 1-st maternity department, National Medical Research Center for Obstetrics, Gynecology and Perinatology namedafter Academician V.I. Kulakov of the Ministry of Healthcare of the Russian Federation, professor of Chair of Obstetrics, Gynecology, Perinatology and Reproductology, Faculty of Postgraduate Professional Training of Physicians of the Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University). Tel.: +7 (495) 438-11-88.
E-mail: o_baev@oparina4.ru https://orcid.org/0000-0001-8572-1971. 117997, Russia, Moscow, Ac. Oparina str. 4.
Dmitry A. Babich, postgraduate student of Chair of Obstetrics, Gynecology, Perinatology and Reproductology, Faculty of Postgraduate Professional Training of Physicians of the Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University). Tel. +7 (903) 2950505. E-mail: babich.d@rambler.ru; https://orcid.org/0000-0002-3264-2038
8-2 Trubetskaya st., Moscow 119991, Russia; 2-4 Bolshaya Pirogovskaya st., 119991 Moscow, Russia
For citation: Baev O.R., Babich D.A. Comparison of the efficiency
of labor induction in full term and late term pregnancies.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 2: 97-103.(In Russian).
https://dx.doi.org/10.18565/aig.2020.2.97-103.
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