European Journal of Cardiovascular Medicine

Introduction:-The aspiration of successful induction of labour is to reduce the risk of expectant pregnancy. Application of Dinoprostone gel for induction of labour is the gold standard practice in obstetrics. Induction of labour should be safe, effective as well as convenient for both patient and medical staff. Therefor induction to delivery time interval has a determinable effect in its success.

Aim:-To observe induction to delivery time interval in labour induced with Dinoprostone gel and factors associated with it.

Material and methods:-This is a retrospective observational study conducted from December 2020 to May 2021 in GMERS hospital sola. Labour induction with Dinoprostone gel in 210 women was studied. Pregnant women fulfilling the inclusion criteria were induced with 0.5 mg Dinoprostone gel intracervicaly after recording baseline bishop score and assessing fetal wellbeing with NST.

Vigilant labour monitoring was done and second gel instillation and labour augmentation with oxytocin was done as and when required.

Induction was considered to be failed when there was no progressive cervical dilatation &/or inefficient uterine activity. Primary and secondary outcomes were observed and then analysed.

Results:-Out of total 210 pregnant women induced with Dinoprostone gel 83.80% women delivered vaginally with mean induction to delivery interval 13.6+/- 1.1 hours in primi gravida and 8.9+/-0.9 hours in multi gravida.

Only 7.61% maternal complication rate and 0.9% NICU admission suggests good maternal and perinatal outcome of this study.

Conclusion:-Intra cervical Dinoprostone gel application is associated with successful outcome and relatively shortens duration of labour improving its acceptance worldwide.

Clinical Significance:-Induction of labour with cervical prostaglandin application such as Dinoprostone is a common & Routine Procedure

Not only induction of labour but timely delivery also plays an important role in successful labour. Shorter the duration of labour better and more acceptable is the outcome both for women as well as doctor.

In this study we assess the duration of time required by Dinoprostone gel application for successful induction and delivery, and factors associated with it.