FAILURE OF PROSTAGLANDIN INDUCTION IN AN OBSTRUCTIVE MULLERIAN ABNORMALITY

Failure of prostaglandins E2 and F2alpha to induce labor for intrauter ine fetal death is infrequent. The factors contributing to these failu res remain unclear. We describe a case of failed induction with the us e of a combination of vaginal prostaglandin E2 and systemic prostaglan din F2alpha in a 24-week intrauterine fetal death in association with a noncommunicating rudimentary uterine horn The implications of this m ullerian abnormality for theories of parturition are discussed.