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

D. Danon*, A. Ben-Haroush, Y. Yogev, J. Bar, M. Hod, J. Pardo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

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) ≤5 cm] and a low Bishop score (≤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.

Original languageEnglish
Pages (from-to)75-79
Number of pages5
JournalFetal Diagnosis and Therapy
Volume22
Issue number1
DOIs
StatePublished - Dec 2006

Keywords

  • Induction of labor
  • Oligohydramnios
  • Prostaglandin E2

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