Comparative study of Prostenoon-geel & vaginal tampons with prostenon solution for cervical ripening and labor induction

Abstract

Objective: To compare the effect of the application of Prostenoon-geel (Img Prostenonum/dose, KEVELT Ltd, Estonia) (Pg-J) and prostaglandin solution tampons (Sol. Prostenoni spirituosa 0,1%- 1ml, Estonia) (Pg-T).

Full Text

Methods: During a period 1995 May - 1996 May, 131 Pg-J and 63 Pg-T were used for the ripening of the uterine cervix and labor induction. The patients were divided into three groups - in the first one only the Pg-T, in the second one only the Pg-J and in the third one both - the Pg-T and Pg-J were used by various indications.

The age of the patients, parity, previous artificial and spontaneous abortions, gestational age, cervical Bishop-score, indications of prostaglandin application, mode of delivery, duration of delivery, time between the last application and onset of labor, data of newborns, hospital stay and adverse effects had been protocolled.

Results: There was no significant difference between 3 groups except the frequency of adverse effects - local itching appeared more often among Pg-T users.

Conclusion: The Prostenoon-Geel is easier to apply than the Pg-T, causes less discomfort to the patients and makes unnecessary an additional vaginal examination (removing the tampon).