Evaluation of the validity and reliability of the Vietnamese version of the professionalismassessment scale for medical students

Tóm tắt

Objective: To evaluate the effectiveness of labor induction using dinoprostone in pregnant women with a gestational age of ≥37 weeks at Thai Binh Obstetrics and Gynecology Hospital in 2025.
Methods: A retrospective descriptive observational study was conducted based on medical records of 169 pregnant women at ≥37 weeks of gestation who underwent labor induction with dinoprostone at Thai Binh Obstetrics and Gynecology Hospital from January 1, 2025, to December 31, 2025
Result: Baseline Characteristics: The mean maternal age was 28.41 ± 5.78 years, with nulliparous women accounting for 61.8%. Mean gestational age was 39.72 ± 0.97 weeks (max: 41 weeks 5 days). Maternal systemic comorbidities and birth weight averaged 15.4% and 3,131 ± 310.44 g, respectively. Most participants (93.5%) had a pre-induction Bishop score ≤ 4, and the leading indication for induction was post-term pregnancy (60.9%).
Induction Outcomes & Predictors: The overall success rate of labor induction was 82.2%. Success was significantly associated with parity (OR = 7.25; 95% CI: 2.14–24.6; p < 0.05) and fetal weight (birth weight < 3,500g increased success likelihood 9.75-fold; p < 0.05). Conversely, maternal age (p > 0.05) and pre-induction Bishop score (p > 0.05) showed no statistically significant association with outcomes.
Delivery & Safety Profiles: The vaginal delivery rate was 69.2%. The primary cause for post-induction cesarean section was failed induction (57.7%). The mean induction-to-delivery interval was 10.62 ± 6.6 hours. Complication rates included postpartum hemorrhage (6.5%) and postpartum infection (3.0%). Neonatal outcomes were favorable, with only 1.2% having a 5-minute Apgar score < 7 and zero maternal or neonatal mortality.
Conclusion: Vaginal dinoprostone can consider an effective and safe option for labor induction in term pregnancies requiring termination of pregnancy, particularly in cases with an unfavorable cervix.