Factors Affecting Successful Vaginal Birth Following Dinoprostone Administration in Post-term Pregnancies

Basit Öğe Kaydı
dc.contributor.authorBademkiran, Muhammed Hanifi
dc.contributor.authorBademkiran, Cihan
dc.contributor.authorEge, Serhat
dc.contributor.authorPeker, Nurullah
dc.contributor.authorOglak, Suleyman Cemil
dc.date.accessioned2024-04-24T17:27:35Z
dc.date.available2024-04-24T17:27:35Z
dc.date.issued2020
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: This study will determine the success rates of the predictive factors of vaginal birth in the post-term labor induction of the cervical ripening slow-release insert dinoprostone. Material and Methods: All patients who underwent labor induction were post-term pregnant patients. Post-term pregnancy was defined as lasting >= 42+0 weeks of gestation. Dinoprostone insertion into the posterior fornix was performed according to the Bishop score (<= 6) and maintained for a maximum of 24 hours. Parity, Bishop score, maternal age, fetal gender, and induction time were identified as candidate predictors. The traditional logistic regression method was used to examine the relationship between the outcome and candidate predictors. Discrimination in the model was evaluated by calculating the c-index. Results: Of the 25,678 deliveries that occurred during the study period, 361 (1.4%) women underwent post-term delivery; of these, 293 (81%) succeeded, and 68 (19%) failed to achieve cervical ripening using the dinoprostone slow-release vaginal insert. Three predictors were strongly associated with dinoprostone vaginal delivery success: multiparity (2.88[1.38-6.01]), fetal gender (1.69[0.9-3.0]), and Bishop score (OR: 1.59 [1.45-1.70]). Conclusion: The success of vaginal delivery can be predicted by evaluating factors, including fetal gender, parity, and the Bishop score in post-term pregnancies. Including these factors in the management protocol for labor induction with cervical ripening could improve care quality.en_US
dc.identifier.doi10.5336/jcog.2020-77451
dc.identifier.endpage140en_US
dc.identifier.issn2619-9467
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85100064699
dc.identifier.scopusqualityQ4
dc.identifier.startpage136en_US
dc.identifier.trdizinid408623
dc.identifier.urihttps://doi.org/10.5336/jcog.2020-77451
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/408623
dc.identifier.urihttps://hdl.handle.net/11468/20066
dc.identifier.volume30en_US
dc.identifier.wosWOS:000871240100002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofJournal of Clinical Obstetrics and Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDinoprostone Slow-Release Vaginal Inserten_US
dc.subjectPost-Term Delivery Inductionen_US
dc.subjectSuccess Ratesen_US
dc.subjectProstaglandin E2en_US
dc.subjectCervical Ripeningen_US
dc.subjectBishop Scoreen_US
dc.titleFactors Affecting Successful Vaginal Birth Following Dinoprostone Administration in Post-term Pregnanciesen_US
dc.titleFactors Affecting Successful Vaginal Birth Following Dinoprostone Administration in Post-term Pregnancies
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu