[Hyperstimulation in elective labor induction with intravaginal PGE2 administration--recommendation on the procedure...

In about 0.5 per cent of elective inductions by means of intravaginal application of 3 mg PGE2 containing tablets hyperstimulation of the uterus with alterations of the foetal heart rate can occur. Amniotomy or the use of betamimetic drugs almost always lead to a normalisation of these alterations avoiding unnecessary Caesarean Sections. In unclear cases foetal blood gas analyses are required. This concept is exemplified by two case reports.