Using dinoprostone slow release vaginal insert for cervical ripening in term‐pregnancy with oligohydramnios

Aims The study purposed to evaluate the success rate of cervical ripening using dinoprostone controlled‐release vaginal insert and reveal some factors relating to successful cervical ripening. Methods This cross‐sectional study was conducted at Tu Du Hospital in Vietnam from December 2021 to August...

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Veröffentlicht in:The journal of obstetrics and gynaecology research 2023-07, Vol.49 (7), p.1750-1761
Hauptverfasser: Nguyen, To Nhu Thi Ngo, Vuong, Anh Dinh Bao, Nguyen, Phuc Nhon, Nguyen, Ngoc Tran Thi, Ho, Quang Nhat, Le, Quang Thanh
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Sprache:eng
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Zusammenfassung:Aims The study purposed to evaluate the success rate of cervical ripening using dinoprostone controlled‐release vaginal insert and reveal some factors relating to successful cervical ripening. Methods This cross‐sectional study was conducted at Tu Du Hospital in Vietnam from December 2021 to August 2022. The study enrolled 200 pregnant women with gestational age ≥37 weeks diagnosed with oligohydramnios. These candidates underwent dinoprostone cervical ripening (DCR) according to the local protocol. The Bishop score ≥7 after 24 h was determined for the successful cervical ripening (SCR). Results In total, the success rate of DCR achieved at 57.5% and the cesarean delivery rate was 46.5%. None of the severe side‐effects and complications was present. Using multivariable logistic regression, the study found that the body mass index ≥25 kg/m2 and oxytocin infusion drip related to SCR with adjusted odds ratio (aOR): 3.67 (95% confidence intervals [CI]: 1.78–7.57) and aOR: 4.68 (95% CI: 1.84–11.93), p 
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.15665