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Arch Dis Child Fetal Neonatal Ed 98:A81 doi:10.1136/archdischild-2013-303966.279
  • Labour and Delivery Posters

PL.97 Prospective Audit for Induction of Labour with Propess

  1. HA Mousa
  1. University Hospitals of Leicester, Leicester, LE1 5WW, UK

Abstract

Aim to assess the success rate of IOL using propess.

Method A prospective audit of IOL was carried out in a large teaching hospital. Special data sheet was used for collection of data. We have included women with a singleton viable pregnancy in a cephalic presentation and who were admitted for IOL at ≥37 weeks gestation. We have excluded cases with history of rupture of membranes.

Results Despite of 24 hours of propess use, 31/100 (31%) additionally needed Prostin as adjuvant method for IOL. 54/100 (54%) needed syntocinon for augmentation of labour. Hyperstimulation syndrome with CTG changes were observed in 7/100 (7%) of cases (five after propess and two after oxytocin infusion). Vaginal delivery was achieved in 73/100 (73%). It was observed that 73/100 (73%) of women delivered between 48 hours of IOL. Primary postpartum haemorrhage was noted in 15/100 (15%). There was no neonatal admission.

Conclusion IOL with proess is successful method with about 73% success rate. However, clinicians should be aware that up to 30% of cases will need extra prostin. Cost analysis is required to evaluate methods that could be used to reduce cost and duration of admission.

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