An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at term

Objectives: The objective of this study was to compare the outcome in between two groups, one group receiving a 6 hourly repeat regimen (maximum 2 such) and another group receiving a 12 hourly repeat regimen of prostaglandin E 2 gel (maximum 2 such) for pre-induction cervical ripening. Methods: In...

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Main Authors: Nishat Parveen Begg, Shelley Seth, Aparna Khan Mandal
Format: Article
Language:English
Published: Barpeta Obstetrics and Gynaecological Society 2024-12-01
Series:New Indian Journal of OBGYN
Subjects:
Online Access:https://journal.barpetaogs.co.in/pdf/111131.pdf
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author Nishat Parveen Begg
Shelley Seth
Aparna Khan Mandal
author_facet Nishat Parveen Begg
Shelley Seth
Aparna Khan Mandal
author_sort Nishat Parveen Begg
collection DOAJ
description Objectives: The objective of this study was to compare the outcome in between two groups, one group receiving a 6 hourly repeat regimen (maximum 2 such) and another group receiving a 12 hourly repeat regimen of prostaglandin E 2 gel (maximum 2 such) for pre-induction cervical ripening. Methods: In this observational cross sectional analytical study, pregnant mothers with singleton pregnancy, viable foetus at 37-42 weeks gestational age receiving either repeated doses of prostaglandin E2 gel 0.5 mg every 6 hours or every 12 hours for maximum 2 times were selected matching their baseline characteristics. Mode of delivery and feto-maternal outcome were assessed. The sample size was 114 in each group. Results: More patients are delivering with a single dose of Prostaglandin E2 gel in the 12 hourly repeat group (24.56% in the 6 hourly group versus 30.7% in the 12 hourly group, p value = 0.2998). More patients are delivering vaginally in the 12 hourly repeat group (76.3% in the 6 hourly group versus 82.5% in the 12 hourly group, p = 0.2518). There is lesser number of neonatal and maternal complications with the 12 hourly repeat groups. But none of these results are statistically significant. Conclusion: Repeating prostaglandin E2 gel 12 hourly is as effective as repeating it 6 hourly, rather the 12 hourly regimen has lesser neonatal and maternal complications and is more cost effective although studies on greater population is needed to make these results statistically significant.
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spelling doaj-art-c3a7e5ad7c4a49a18e5018ae3f33d30e2025-08-20T02:16:10ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422024-12-0111113113410.21276/obgyn.20252024.11.1.24An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at termNishat Parveen Begg0 Shelley Seth1Aparna Khan Mandal2Senior Resident, Department of Obstetrics and Gynaecology, Rampurhat Govrnment Medical college and HospitalAssociate Professor, Department of Obstetrics and Gynaecology, RG Kar Medical College and HospitalAssociate Professor, Department of Obstetrics and Gynaecology, R G Kar Medical College and HospitalObjectives: The objective of this study was to compare the outcome in between two groups, one group receiving a 6 hourly repeat regimen (maximum 2 such) and another group receiving a 12 hourly repeat regimen of prostaglandin E 2 gel (maximum 2 such) for pre-induction cervical ripening. Methods: In this observational cross sectional analytical study, pregnant mothers with singleton pregnancy, viable foetus at 37-42 weeks gestational age receiving either repeated doses of prostaglandin E2 gel 0.5 mg every 6 hours or every 12 hours for maximum 2 times were selected matching their baseline characteristics. Mode of delivery and feto-maternal outcome were assessed. The sample size was 114 in each group. Results: More patients are delivering with a single dose of Prostaglandin E2 gel in the 12 hourly repeat group (24.56% in the 6 hourly group versus 30.7% in the 12 hourly group, p value = 0.2998). More patients are delivering vaginally in the 12 hourly repeat group (76.3% in the 6 hourly group versus 82.5% in the 12 hourly group, p = 0.2518). There is lesser number of neonatal and maternal complications with the 12 hourly repeat groups. But none of these results are statistically significant. Conclusion: Repeating prostaglandin E2 gel 12 hourly is as effective as repeating it 6 hourly, rather the 12 hourly regimen has lesser neonatal and maternal complications and is more cost effective although studies on greater population is needed to make these results statistically significant.https://journal.barpetaogs.co.in/pdf/111131.pdfprostaglandin e2 gel6 hourly group12 hourly group
spellingShingle Nishat Parveen Begg
Shelley Seth
Aparna Khan Mandal
An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at term
New Indian Journal of OBGYN
prostaglandin e2 gel
6 hourly group
12 hourly group
title An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at term
title_full An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at term
title_fullStr An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at term
title_full_unstemmed An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at term
title_short An observational study comparing two regimens of PGE2 gel for pre-induction cervical ripening at term
title_sort observational study comparing two regimens of pge2 gel for pre induction cervical ripening at term
topic prostaglandin e2 gel
6 hourly group
12 hourly group
url https://journal.barpetaogs.co.in/pdf/111131.pdf
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