Cervical ripening with intravaginal prostaglandins E2 gel
Medical Journal of Cairo University [The]. 2006; 74 (Supp. 2): 5-8
em Inglês
| IMEMR
| ID: emr-79443
ABSTRACT
Ripening of the cervix by intravaginal application of a prostaglandin containing gel was evaluated. Thirty patients with an unfavorable cervix needing labor induction were studied in a double-blind prospective fashion. The prostaglandin gel proved superior to placebo in ripening the cervix [p<0.5], reducing induction failure [p<0.25] diminishing the oxytocin dosage necessary for induction [p<0.5]. and lowering the rate of cesarean section [p<0.1]. One hundred fifty additional patients with varying Bishop scores and differing clinical situation were also studied. There were 35 cesarean sections [23.3%], nine failed inductions [6%], a spontaneous labor rate of 46% and an average Bishop score change of 2.5. Twenty patients with premature rupture of the membranes and an unfavorable cervix received a modified gel containing 2.5mg of prostaglandin E2. Average Bishop score change was 2.9, and there was 55% incidence of spontaneous labor
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Prostaglandinas E
/
Administração Intravaginal
/
Estudos Prospectivos
/
Trabalho de Parto Induzido
Tipo de estudo:
Ensaio Clínico Controlado
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Med. J. Cairo Univ.
Ano de publicação:
2006
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