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  • Title: Induction of labor utilizing vaginal vs. intracervical prostaglandin E2.
    Author: Seeras RC.
    Journal: Int J Gynaecol Obstet; 1995 Feb; 48(2):163-7. PubMed ID: 7789590.
    Abstract:
    OBJECTIVE: To compare the efficacy of intracervical vs. vaginal prostaglandin E2 (PGE2) gel for induction of labor. METHOD: Sixty-eight women scheduled for elective induction of labor at term were randomized to receive either 0.5 mg intracervical PGE2 (I/C group, n = 37) or 2 mg vaginal PGE2 gel (Vag group, n = 31) on a 6-hourly basis for a maximum of three doses. RESULTS: Three participants who delivered by cesarean section soon after gel administration were excluded from further analysis. Twenty-nine of 30 (97%) in the Vag group were successfully induced compared with 23 of 35 (66%) in the I/C group (P < 0.01). The induction-active labor intervals were 8.0 +/- 5.4 h for the Vag group and 23.1 +/- 27.6 h for the I/C group (P = 0.002). The induction-delivery intervals were 12.4 +/- 6.3 h for the Vag group and 29.8 +/- 29.1 h for the I/C group (P = 0.001). Uterine hyperstimulation and perinatal outcome were similar in both groups. CONCLUSION: Vaginal PGE2 was more efficacious than intracervical PGE2 in inducing labor.
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