Volume : VIII, Issue : III, March - 2019

EFFECT OF VAGINAL PH ON EFFICACY OF DINOPROSTONE GEL FOR LABOUR INDUCTION

Dr. V. Rajalakshmi

Abstract :

INTRODUCTION: Induction of labour can be defined as an intervention intended to artificially initiate uterine contractions resulting in progressive effacement and dilation of cervix. This should ideally result in the birth of the baby through vaginal route. The availability of newer induction techniques which are safer, more effective and predictable than the older techniques has made the process of induction more easier. AIM OF THE STUDY: 1. To evaluate the influence of vaginal pH on the efficacy of PGE2 gel for cervical ripening/labour induction. 2. To improve patient selection for PGE2 induction and reduce the incidence of failed induction with PGE2 gel. METHODS: It is a Prospective study conducted in Govt. RSRM Lying In Hospital. Each participant underwent a speculum examination and vaginal pH value was assessed.The differences between the groups with respect to age, parity, Bishop score prior induction, need for a second induction, time to enter into active phase of labour and the final mode of delivery were compared and analysed. The induction delivery interval, Caesarean section rates and indications, Birth weight and APGAR score of the babies were noted . RESULTS: The most common indication for induction was post datism. Vaginal pH in the range of 5–6 appears to predict vaginal delivery more reliably and it is a better predictor of success of induction. CONCLUSION: Findings of the study suggested that parity influences vaginal pH and vaginal pH itself has a significant effect on cervical ripening and the Bishop Score prior induction. Higher vaginal pH more often responds to a single induction and is more often associated with vaginal deliveries than LSCS. Hence knowing the vaginal pH prior induction could prove to be a useful tool in assessing the labour outcome of a patient undergoing labour induction with PGE2 gel.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

EFFECT OF VAGINAL PH ON EFFICACY OF DINOPROSTONE GEL FOR LABOUR INDUCTION, DR.V.RAJALAKSHMI PARIPEX - INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-3 | March-2019

Number of Downloads : 132

References :