Factors Associated with Success of Induction of Labor with Dinoprostone Vaginal System and Outcomes

INTRODUCTION: The aim of this study was to evaluate factors associated with success of induction of labor with dinoprostone vaginal system and assess maternal and fetal outcomes.
METHODS: One hundred and three patients were evaluated retrospectively. Primary outcomes were considered proportion of women achieving
vaginal delivery within 24 hours. Secondary outcome measures were assessed as tachysystole, hyper stimulation, oxytocin requirement, cesarean section rate, fetal distress, meconium stained liquor, postpartum hemorrhage, cervical-vaginal tears,
fetal death and vaginal birth achieved post hours, and side effects such as hyperprexia, vomiting, and diarrhea. The factors associated with success of dinoprostone use were evaluated comparing between vaginal birth and cesarean section groups, and fetal outcomes were also assessed.
RESULTS: The success rate of vaginal birth within 24 hours after induction was 28.2%. Age, parity and cervical opening were associated factors
with success of achieving vaginal birth within 24 hours (p<0.01). There were no differences between two groups in terms of maternal and fetal outcomes (p>0.05). Apgar scores also were not different between two groups. The maternal and fetal complications which might be attributed to dinoprostone use were rare.
DISCUSSION AND CONCLUSION: Age, parity and cervical opening were associated factors with success of induction of labor with dinoprostone with rare maternal and fetal
complications.