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Re: A caseFrom: douglas krell (douglas.krell@nsionline.com)Fri Dec 6 08:16:31 1996
Robert J. Woolley wrote:
If I am understanding your practice correctly, it seems
> inevitable that you will end up with a *higher* section rate than you would if Wait... Are you just assuming that the section rate is going to be higher? Is it in fact? Did they offer serial induction in the Hannah study? Is there any evidence to support the idea that serial induction has a higher success rate than single induction attempts? I'm sure that the answer depends upon induction methods. We DO serial inductions if necessary when there is no fetal compromise. Our numbers are small and so I cannot claim any statistical significance but with Prostaglandin gel, we've had good luck with waiting 72 hours after a failed induction and repeating the process. This means we've been able to get a patient into active labor and barring true CPD and fetal distress, have avoided C/S. Now we're using Misoprostol for induction. In 50 cases, we've only failed to get someone into labor once and our C/S rate is around 18%. Doug Krell MD
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