TERM GEBELERDE DOĞUM İNDÜKSİYONU İÇİN KULLANILAN VAJİNAL PROSTAGLANDİN E2’NİN BAŞARISINI ETKİLEYEN FAKTÖRLER

Amaç:Doğum indüksiyonu için vajinal prostaglandin E2 (dinoproston) kullanılan gebelerde indüksiyon başarısını etkileyen faktörleri belirlemek. Materyal ve Metot:Çalışmamıza 2016 Ocak ile 2019 Mart arasında doğum indüksiyonu için vajinal prostaglandin E2 uygulanan term gebeler dahil edildi. İndüksiyon sonrasında vajinal doğum yapan olgular başarılı olarak, sezaryen ile doğum yapan olgular başarısız olarak gruplandırıldı. Her iki gruptaki gebeler yaş, parite, vücut kitle indeksi, gebelik haftası, fetal ağırlık, fetal cinsiyet, indüksiyon öncesi bishop skoru, indüksiyon endikasyonları ve sezaryen endikasyonları açısındankarşılaştırıldı. Bulgular:Çalışmamıza dahil edilen 186 hastadan 127 (%68.2)’sinde vajinal prostaglandin E2 uygulaması ile indüksiyon başarılı sonuçlandı ve doğum vajinal yoldan gerçekleşti. Her iki grupta da yaş, doğum anındaki gebelik haftası, fetal cinsiyet, oksitosin ihtiyacı ve indüksiyon endikasyonları açısından anlamlı fark bulunmadı (p>0.05). İndüksiyonun başarılı olduğu grupta ortalama parite değeri başarısız grup ile karşılaştırıldığında anlamlı olarak yüksek (p

Factors Affecting the Success of Vaginal Prostaglandin E2 Used for Labour Induction in Term Pregnants

Aim:To identify the factors affecting the success rate of vaginal prostaglandin E2 (dinoproston) used to induct the labour in term pregnancies. Materials and Methods:We included in our study term pregnant women who underwent vaginal prostaglandin E2 for induction of labor between January 2016 and March 2019.The cases who had vaginal delivery after induction were categorized as successful, while cesarean section cases were grouped as unsuccessful. The patients in both groups were compared in terms of age, parity, body-mass index (BMI), gestational week, fetal birthweight, fetal gender, bishop score before induction and indication for labour induction as the factors affecting the success of the method. Results:In 127 (68.2%) of total 187 patients in our study gave birth vaginally by the application of vaginal prostaglandin E2. There was no difference between two groups in regards to age, gestational week, fetal gender, oxytocin need and the indications for labour induction (p>0.05). Mean parity was found to be significantly higher in successful induction group than failed group (p

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