Induction of labor with vaginal prostaglandin-E2 in grand multiparous women with one previous cesarean section

Abstract

Objective: To review the outcome of induction of labor with vaginal prostaglandin-E2 in grand multiparous women with one previous cesarean section. Methods: Twenty-six grand multiparous women with one previous cesarean section were induced with vaginal prostaglandin-E2. Results: Twenty (76.9%) women delivered vaginally and six (23.1%) women delivered by emergency cesarean section. The mean duration of labor was 6±3.6 h. There was no uterine rupture or dehiscence. There was one neonatal death and two stillbirths. Conclusions: Our limited study suggests that induction of labor with vaginal prostaglandin-E2 in selected grand multiparous women with one previous cesarean section may be a reasonable option. However, further studies are needed to document its safety. Copyright (C) 1999 International Federation of Gynecology and Obstetrics.