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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (3): 523-527    DOI: 10.31083/j.ceog.2021.03.2337
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8 am versus 8 pm labour induction with dinoprostone vaginal tablets in term pregnancies with unfavourable cervices—a randomised controlled trial
Aizura Syafinaz Ahmad Adlan1, *(), Vikneswaran Virasamy1, Doris Ng Sin-Wen2, Noor Azmi Mat Adenan1
1Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
2Department of Obstetrics and Gynaecology, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia
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Abstract  
Background: To evaluate the feasibility of timing delivery of induction of labour cases to occur during office hours and reduce night time delivery. Methods: Patients scheduled for induction of labour were randomized to 8 am or 8 pm insertion of dinoprostone vaginal tablets. The main outcome measure was time of delivery between 8 am to 5 pm. The secondary outcome measures were mode of delivery and its indications, neonatal outcomes, maternal satisfaction and labour room staff satisfaction. Results: 164 patients were recruited with 78 patients randomized to the 8 am group and 86 patients randomized to the 8 pm group. There was no significant difference in timing of delivery between both groups, with delivery between 8 am to 5 pm for the 8 am group being 35.9% and for the 8 pm group being 44.2% (P = 0.339). For the secondary outcome measures, there was no significant difference found between mode of delivery (vaginal, instrumental or Caesarean section), neonatal Apgar score and cord blood pH, nor maternal satisfaction score based on the Likert scale. However there was a statistically significant difference (P = 0.001) for labour ward staff satisfaction based on the Likert scale, favouring the 8 pm induction timing. Conclusion: 8 am versus 8 pm timing for induction of labour has no significant difference to the timing of delivery during office hours, but the 8 pm induction of labour group has significantly greater labour ward staff satisfaction.
Key words:  Induction of labour      Randomized trial      Timing of delivery      Staff satisfaction     
Submitted:  27 October 2020      Revised:  14 January 2021      Accepted:  26 February 2021      Published:  15 June 2021     
*Corresponding Author(s):  Aizura Syafinaz Ahmad Adlan     E-mail:  syafinaz@ummc.edu.my

Cite this article: 

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. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 523-527.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2021.03.2337     OR     https://ceog.imrpress.com/EN/Y2021/V48/I3/523

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