Prostaglandin E2 induction of labor for isolated oligohydramnios in women with unfavorable cervix at term.

Abstract

OBJECTIVE:

To evaluate the maternal and neonatal outcomes of pregnancies complicated with isolated oligohydramnios at term, managed by induction of labor.

METHODS:

We conducted a retrospective case-control study. 138 women with uncomplicated oligohydramnios at term [amniotic fluid index (AFI) < or =5 cm] and a low Bishop score (< or =6) underwent induction of labor with prostaglandin E2. These women were compared to 67 women who underwent induction of labor at 42 weeks' gestation and 276 women at low-risk pregnancy and spontaneous onset of labor, matched for parity and race.

RESULTS:

Cesarean section (CS) rate was similar in the study and the post-date group (17.4 and 17.9%, respectively), but significantly higher than the spontaneous labor group (5.8%, OR 3.42, 95% CI 1.75-6.68). No differences were found with other outcomes.

CONCLUSION:

Pregnancies with isolated oligohydramnios at term apparently are not at higher risk of perinatal complications, but induction of labor is associated with increased rate of CS.

• Authors: D Danon, A Ben-Haroush, Y Yogev, J Bar, M Hod, J Pardo
• Journal: Fetal diagnosis and therapy (Fetal Diagn Ther) Vol. 22 Issue 1 Pg. 75-9 ( 2007) ISSN: 1015-3837 [Print] Switzerland
• PMID: 17003561 (Publication Type: Journal Article)

Chemical References

• Oxytocics
• Dinoprostone

Topics

• Case-Control Studies
• Cesarean Section
• Delivery, Obstetric (statistics & numerical data)
• Dinoprostone (adverse effects)
• Female
• Humans
• Labor, Induced (adverse effects, methods)
• Oligohydramnios
• Oxytocics (adverse effects)
• Pregnancy
• Pregnancy Outcome
• Retrospective Studies
• Term Birth