{
    "abstract": "Whether the use of dinoprostone pessary increased the vaginal delivery rate of labor induction in Chinese nulliparous women with term premature rupture of membranes (PROM) and unfavorable cervices?\nPROM women at term with singleton pregnancies and Bishop scores \u22644 who needed labor induction were enrolled in this retrospective study. They received either the dinoprostone pessary followed by oxytocin infusion if necessary (n\u00a0=\u2009102, PGE2 group) or oxytocin infusion alone (n\u00a0=\u2009103, oxytocin group).\nCompared with oxytocin infusion alone, vaginal delivery within 12\u2009h and total vaginal delivery were higher in the PGE2 group (28.4% vs 7.8%, p\u00a0=\u20090.0001; 79.4% vs 62.1%, p\u00a0=\u20090.009, respectively). There were no statistical differences between the two groups in terms of maternal and neonatal outcomes, such as postpartum hemorrhage, endometritis, third- and fourth-degree vaginal lacerations and neonatal weight, 1- and 5-min Apgar score \u22647, neonatal jaundice, and neonatal unit admission (p\u00a0>\u20090.05). However, there was a higher rate of uterine hyperstimulation in the PGE2 group (20.6% vs 3.9%, p\u00a0<\u20090.0001). The effective rate of cervical ripening increased in the PGE2 group at 8 and 12\u2009h of labor induction (p\u00a0<\u20090.001).\nDespite higher rates of uterine hyperstimulation, the use of dinoprostone was associated with higher rates of vaginal deliveries in Chinese nulliparous women with term PROM and Bishop scores \u22644, compared with use of oxytocin only.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.",
            "firstname": "Haiyan",
            "initials": "H",
            "lastname": "Liu"
        },
        {
            "affiliation": "Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.",
            "firstname": "Huifen",
            "initials": "H",
            "lastname": "Yin"
        },
        {
            "affiliation": "Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.",
            "firstname": "Huan",
            "initials": "H",
            "lastname": "Zhang"
        },
        {
            "affiliation": "Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.",
            "firstname": "Hao",
            "initials": "H",
            "lastname": "Zhu"
        },
        {
            "affiliation": "Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.",
            "firstname": "Rong",
            "initials": "R",
            "lastname": "Hu"
        },
        {
            "affiliation": "Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.",
            "firstname": "Weirong",
            "initials": "W",
            "lastname": "Gu"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2021 Japan Society of Obstetrics and Gynecology.",
    "doi": "10.1111/jog.14749",
    "journal": "The journal of obstetrics and gynaecology research",
    "keywords": [
        "Bishop score",
        "dinoprostone pessary",
        "labor induction",
        "oxytocin",
        "premature rupture of membranes"
    ],
    "methods": null,
    "publication_date": "2021-05-07",
    "pubmed_id": "33955127",
    "results": "Compared with oxytocin infusion alone, vaginal delivery within 12\u2009h and total vaginal delivery were higher in the PGE2 group (28.4% vs 7.8%, p\u00a0=\u20090.0001; 79.4% vs 62.1%, p\u00a0=\u20090.009, respectively). There were no statistical differences between the two groups in terms of maternal and neonatal outcomes, such as postpartum hemorrhage, endometritis, third- and fourth-degree vaginal lacerations and neonatal weight, 1- and 5-min Apgar score \u22647, neonatal jaundice, and neonatal unit admission (p\u00a0>\u20090.05). However, there was a higher rate of uterine hyperstimulation in the PGE2 group (20.6% vs 3.9%, p\u00a0<\u20090.0001). The effective rate of cervical ripening increased in the PGE2 group at 8 and 12\u2009h of labor induction (p\u00a0<\u20090.001).",
    "title": "Dinoprostone pessary for labor induction in Chinese patients with premature rupture of membranes at term: A retrospective cohort.",
    "xml": "<Element 'PubmedArticle' at 0x788505b7f5b0>"
}