Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1



Effect of vaginal pH on efficacy of dinoprostone gel for labour induction

Maria Joseph Kurian, Bharathi Rao, Arun Rao, Shameem V. P. A..

Abstract
Background: Induction of labour is defined as an intervention designed to artificially initiate uterine contractions leading to progressive dilatation and effacement of the cervix and birth of the baby. The aim of the study was to evaluate the influence of vaginal pH on the efficacy of dinoprostone gel for labor induction.
Methods: A prospective study conducted on 200 subjects within 1 year in India. The Bishop score and vaginal pH (with pH paper, Sigma Chemical Company, St. Louis, USA) of subjects undergoing induction of labor with dinoprostone gel was assessed prior induction. After 6 hours of induction, PGE2 gel was repeated or labor was augmented. The vaginal pH measured was compared with age, parity, Bishop Score, time to enter into active phase of labor, and the mode of delivery. The significance of association was calculated by Chi-square test.
Results: Majority subjects had pH in the range 5-6.Subjects with higher parity were associated with higher vaginal ph. Higher vaginal pH was associated with a higher Bishop score prior to induction, responded to single induction, and had a higher number of vaginal deliveries than those with lower vaginal pH. There was no significant association found in vaginal pH and the time taken to enter into active phase of labor. Subjects with pregnancy induced hypertension were found to have higher vaginal ph.
Conclusions: Parity influences vaginal pH and vaginal pH itself has a significant effect on the Bishop Score prior induction. Hence knowing the vaginal pH prior induction could be a useful tool to assess the labor outcome in induction with PGE2.

Key words: Vaginal pH, Labour induction, Dinoprostone gel (PGE2)



Share this Article


Advertisement
American Journal of Preventive Medicine and Public Health

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons