Protocol audit of dinoprostone gel induction of labour

This study aimed to evaluate dinoprostone gel induction of labour. A prospective observational study was conducted over six months in 2001. Themes explored include predictive indicators within the Modified Bishop's Score, timing between doses, timing of administration and number of doses administered.

Labouring after one dose of dinoprostone gel is significantly related to a Modified Bishop's Score of >4 (p=0.005) and position of the cervix (p=0.031) for all women, and for multiparous women cervical dilatation (p=0.014). Timing of administration will not affect timing of delivery. There is no benefit in waiting more than six to eight hours between doses.