Bozhinova S
Akush Ginekol (Sofiia). 1998;37(2):1-2.
Induction of labour with local application of PgE2 in breech presentation is still a much discussed problem. We aimed at studying the effect of local application of PgE2 (Prostin E2--3 mg) vaginal tablets for induction of labour in breech presentation. 15 pregnancies were studied and induced--8 for postdate, 6 for prae-eclampsia and 1 for fetal demise. Sonographic biometry and cardiotocographic examinations were conducted as well as a precise bishop score. Labour began within the interval of 3-13 hours after the application on the first tablet. The length of delivery was 4-24 hours. Effective labour was instituted in 93.33% on the parturiens, while in 1 (6.67%) there was a need for augmentation with oxytocin. There were no cases of hyperstimulation. Vaginal delivery was accomplished in 100% of the patients among which the breech was delivered with the classical manoeuvre in 10 cases and by the Bracht manoeuvre in 5 cases. Our results show, despite is small case number, that with favourable pelvic scores and absence of cephalopelvic disproportion and fetal distress PgE2 induction can be done locally even for breech presentation.
在臀位分娩中局部应用前列腺素E2引产仍是一个备受争议的问题。我们旨在研究局部应用前列腺素E2（普罗斯特E2——3毫克）阴道片在臀位分娩引产中的效果。对15例妊娠进行了研究并引产——8例过期妊娠，6例先兆子痫，1例胎儿死亡。进行了超声生物测量和胎心监护检查以及精确的 Bishop 评分。在应用第一片药后的3至13小时内开始分娩。分娩时长为4至24小时。93.33%的产妇开始有效宫缩，而1例（6.67%）需要用缩宫素加强宫缩。没有出现子宫过度刺激的病例。100%的患者实现了阴道分娩，其中10例臀位以经典手法娩出，5例以布拉赫手法娩出。我们的结果表明，尽管病例数较少，但在骨盆评分良好、不存在头盆不称和胎儿窘迫的情况下，即使是臀位分娩也可局部应用前列腺素E2引产。
