Even though patients that received vaginal insert showed a trend of increased incidence of abnormal cardiotocography during labor ( 12 % versus 6.3 % ) and hyperkinetic labor ( 11.8 % versus 2.1 % ) , the incidence of cesarean sections ( 21.4 % versus 21.6 % ) , cesareans for fetal distress ( 12.5 % versus 11.8 % ) , and umbilical artery pH < 7.10 ( 4.9 % versus 2.5 % ) was comparable between the two groups .
