Effect of Vaginal pH on Efficacy of Prostaglandin Gel for Labour Induction
Keywords:Vaginal ph, Labour, Induction, Pge2 Gel
Background: Inducing Labour Is A Procedure Intended To Trigger Artificial Contractions Of The Uterus That Generally
Involve Progressive Erasure And Dilation Of The Cervix. This Will Hopefully Lead To The Birth Of A Baby Through The
Objective: To Assess The Effect Of Vaginal Ph On Efficacy Of Prostaglandin Gel For Labour Induction
Methods: A Total Of 200 Women With An Unfavourable Cervix Were Enrolled In This Retrospective Study. In Group I,
There Were 100 Cases With Vaginal Ph Of ≤4.5 And In Group Ii, 100 Cases With Vaginal Ph Of > 4.5. Patients With Minimal
Change In Bishop Score, Received Up To 3 Doses Of Prostaglandin Gel Intracervically, 6 Hours Apart. Women Who Had
No Change In Bishop Score At The End Of Induction With 3 Doses Of Prostaglandin Gel, Were Further Reassessed.
Results: In Terms Of Maternal Age, Parity, Gestational Age, And Initial Bishop Score, There Was No Significant Difference
Between The Two Groups. Prior To Induction Of Labour, The Average Bishop Score Was 3.6±0.9 In Group I And 4±1.0 In
Group Ii. Out Of 200 Cases, 33% Cases Required Oxytocin Infusion In Group I And 13% In Group Ii.
Conclusion: Parity Has A Major Impact On The Pre-Induction Of The Bishop Score And The Ph Itself Has A Vaginal
Influence. Knowing The Pre-Induction Vaginal Ph May Also Be A Helpful Method For Determining The Outcome Of
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