A Comparative Study To Assess Effect Of Vaginal Ph On Cervical Ripening With Dinoprostone (Pge₂) Gel Between Rural And Urban Primigravida
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
OBJECTIVES: To study effect of vaginal pH on cervical ripening with dinoprostone gel in terms of time to active labour,induction delivery time interval, mode of delivery and feto-maternal outcome between rural and urban primigravida. METHODS: -In a hospital based comparative study,dinoprostone gel with vaginal pH in patients with modified Bishops score ≤5 in 100 primigravida inserted and outcome noted and statistical analysis done in both group. RESULTS : - Urban primigravida required lesser time interval in terms of time to active labour, induction delivery time interval and better feto-maternal outcome as compared to rural primigravida. CONCLUSION :. – Vaginal pH has an effect on the efficacy of gel for cervical ripening.Thus reducing unnecessary labour induction, caesarean section for failed induction in a cost effective way.
Authors and Affiliations
Dr. Reena Meena, Dr. Anju Sharma, Dr. Lata Rajoria
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