Induction of Labour in Nulliparas with Poor Cervical Score: Oxytocin or Prostaglandin Vaginal Pessaries?

Induction of labour using 2 doses of 3 mg prostaglandin E2 resulted in a Caesarean section rate of 23.7%.

• The Caesarean section rate for previous methods was 43.5%, with 55% due to failed induction.
• Prostaglandin E2 induction led to a significantly lower Caesarean section rate compared to oxytocin infusion and rupture of membranes (p < 0.001).
• 53.3% of patients in the prostaglandin group established labour within 24 hours, with a Caesarean section rate of 18.5%.
• Among patients who did not start labour, those with a good cervical score had a Caesarean section rate of 8.8%, while those with a poor score had a rate of 48.6% (p < 0.001).
• The findings suggest that vaginal prostaglandin pessaries may be more effective in reducing Caesarean section rates in nulliparas with poor cervical scores.

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