Can we predict successful cervical ripening with prostaglandin E2 vaginal inserts?

Purpose Previous studies have suggested that a variety of maternal and obstetrical characteristics may predict successful prostaglandin E2 (PGE2) cervical ripening. However, in most studies women were administered vaginal tablets or gel so scarce is known regarding potential predictors in women admi...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2017-02, Vol.295 (2), p.343-349
Main Authors: Hiersch, Liran, Borovich, Adi, Gabbay-Benziv, Rinat, Maimon-Cohen, Moria, Aviram, Amir, Yogev, Yariv, Ashwal, Eran
Format: Article
Language:English
Subjects:
Administration, Intravaginal
Adult
Cervical Ripening - physiology
Cohort Studies
Dinoprostone - administration & dosage
Endocrinology
Female
Gynecology
Human Genetics
Human papillomavirus
Humans
Induced labor
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Oxytocics - administration & dosage
Pregnancy
Retrospective Studies
Success
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Summary:Purpose Previous studies have suggested that a variety of maternal and obstetrical characteristics may predict successful prostaglandin E2 (PGE2) cervical ripening. However, in most studies women were administered vaginal tablets or gel so scarce is known regarding potential predictors in women administrated slow-release vaginal inserts. We aimed to characterize the response of cervical ripening for labor induction using slow-release PGE2 vaginal insert and to identify predictors for success. Methods A retrospective cohort study in a single center (2013–2015). The association between maternal characteristics at admission and cervical ripening success/failure were explored. Cervical ripening failure was defined as a Bishop’s score
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-016-4260-1