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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (3): 615-627    DOI: 10.31083/j.ceog.2021.03.2440
Special Issue: Caesarean Section Today - “Caesarology in the 21st Century”
Original Research Previous articles | Next articles
Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis
Veronika Anzeljc1, Faris Mujezinović1, 2, *()
1Department of Perinatology, University Medical Centre Maribor, 2000 Maribor, Slovenia
2Department of Gynecology and Obstetrics, Faculty of Medicine University of Maribor, 2000 Maribor, Slovenia
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Background: To evaluate the outcomes and process of labour induction following the introduction of a new vaginal device with slow releasing dinoprostone (Propess). Methods: Data were collected on the indications for labour induction, the process of induction and delivery, and the outcomes of delivery for 171 term pregnancies between 1 January 2020 and 31 August 2020. Excluded from this study were patients with preterm delivery, multiple pregnancies, or pre-labour rupture of membranes. Data for the standard dinoprostone medication (PG) and Propess groups was analysed and compared. Results: Of the 93 women (54.4% of total) induced in the PG group, 55 (59.1%) received Prostin tablets, 17 (18.3%) received 1 mg of Prostin gel, and 21 (22.6%) received 2 mg of Prostin gel. Seventy eight women (45.6%) received the new intravaginal device (Propess group). The five most frequent indications for labour induction were post-term pregnancy (53, 31.0%), GDM (42, 24.6%), oligohydramnios (30, 17.5%), IUGR (21, 12.3%), and hypertensive disease (20, 11.7%). The Bishop scores were unfavourable in the majority of cases (119, 69.6%). The length of induction was less than 24 hours in 134 women (78.4%). Oxytocin was used more frequently (p = 0.001) in the Propess group and these women underwent more frequent caesarean section (20.5% vs 12.9%, p = 0.31). The status of babies was good in both groups. Conclusion: Introduction of the Propess device to mainstream medical practice has led to rapid implementation and resulted in improved workflow and positive outcomes for both the baby and mother.
Key words:  Induction of labour      Intravaginal device      Outcome of labour induction     
Submitted:  30 December 2020      Revised:  15 February 2021      Accepted:  10 March 2021      Published:  15 June 2021     
IRP- 2020/01-04/UMC Maribor Institutional Research
*Corresponding Author(s):  Faris Mujezinović     E-mail:

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Veronika Anzeljc, Faris Mujezinović. Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 615-627.

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[1] Aizura Syafinaz Ahmad Adlan, Vikneswaran Virasamy, Doris Ng Sin-Wen, Noor Azmi Mat Adenan. 8 am versus 8 pm labour induction with dinoprostone vaginal tablets in term pregnancies with unfavourable cervices—a randomised controlled trial[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 523-527.
[2] I.F. Urunsak, U.K. Gulec, E. Eser, M. Sucu, C. Akcabay, S. Buyukkurt. The role of dinoprostone for labor induction in postterm and high-risk term pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 664-668.
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