| Cervical ripening: a randomized comparison between intravaginal misoprostol and an intracervical balloon catheter combined with intravaginal dinoprostone. | |
| | |
MedLine Citation:
|
PMID: 9662319 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: Our purpose was to compare the efficacy of intravaginal misoprostol and intracervical Foley catheter/intravaginal dinoprostone for cervical ripening. STUDY DESIGN: Patients admitted for induction of labor were randomized to receive intravaginal misoprostol 25 microg every 4 hours or intracervical Foley catheter/intravaginal dinoprostone 4 mg every 4 hours. Patients not entering active labor and having ruptured membranes or arrest of dilatation received intravenous oxytocin. RESULTS: Sixty-five patients received Foley catheter/dinoprostone gel and 62 patients received misoprostol. The mean time until cervical ripening was less in the catheter/gel group (7.5 +/- 3.4 vs 12.0 +/- 5.9 hours, p < 0.01). The mean time until vaginal delivery was less in the catheter/gel group (17.4 +/- 6.9 vs 21.2 +/- 7.5 hours, p = 0.004). Among vaginal deliveries, more patients in the catheter/gel group delivered within 24 hours (90% vs 69%, p = 0.013). CONCLUSIONS: Intracervical Foley catheter/intravaginal dinoprostone was associated with more rapid cervical ripening, shorter induction to vaginal delivery interval, and greater number of vaginal deliveries within 24 hours. |
| | |
Authors:
|
K G Perry; J E Larmon; W L May; L G Robinette; R W Martin |
Related Documents
:
|
17190989 - Pentasomy 49,xxxxy associated with a chiari type 1 malformation and cervical syrinx. 12727979 - Decreased type i collagen expression in human uterine cervix during pregnancy. 19695559 - Postpartum radical trachelectomy for ib1 squamous cell carcinoma of the cervix diagnose... 16625569 - Hyaluronidase for cervical ripening and induction of labour. 18801869 - Pregnancy outcome in women before and after cervical conisation: population based cohor... 11084549 - Use of cervical ultrasonography in prediction of spontaneous preterm birth in twin gest... 3440959 - The relationship of twinning to the familial-sporadic distinction in schizophrenia. 11020509 - Use of electively cryopreserved microsurgically aspirated epididymal sperm with ivf and... 17190989 - Pentasomy 49,xxxxy associated with a chiari type 1 malformation and cervical syrinx. |
Publication Detail:
|
Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: American journal of obstetrics and gynecology Volume: 178 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1998 Jun |
Date Detail:
|
Created Date: 1998-07-30 Completed Date: 1998-07-30 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1333-40 Citation Subset: AIM; IM |
Affiliation:
|
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Administration, Intravaginal Adult Balloon Dilatation* Cervix Uteri / drug effects*, physiology* Delivery, Obstetric / methods Dinoprostone / adverse effects, therapeutic use* Female Humans Labor, Induced Misoprostol / adverse effects, therapeutic use* Oxytocics / adverse effects, therapeutic use* Pregnancy Pregnancy Outcome Time Factors |
| Chemical | |
Reg. No./Substance:
|
0/Oxytocics; 363-24-6/Dinoprostone; 59122-46-2/Misoprostol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Sequelae of unrecognized gestational diabetes.
Next Document: Use of video eyeglasses to decrease anxiety among children undergoing genital examinations.