Document Detail


Current trends in cervical ripening and labor induction.
MedLine Citation:
PMID:  10465223     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Labor is induced in more than 13 percent of deliveries in the United States. Postdate pregnancy is the most common indication. Oxytocin is the drug of choice for labor induction when the cervical examination shows that the cervix is favorable. The use of this agent requires experience and vigilant observation for uterine hyperstimulation, hypertonus or maternal fluid overload. In a patient whose cervix is unfavorable, the use of prostaglandin analogs for cervical ripening markedly enhances the success of inductions. Misoprostol, a prostaglandin E1 analog marketed as a gastrointestinal mucosal protective agent, is safe, efficacious and inexpensive for use in cervical ripening and labor induction. Further studies will better delineate its optimal use. Family physicians need to be familiar with the various methods of cervical ripening and labor induction.
Authors:
J H Harman; A Kim
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American family physician     Volume:  60     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-08     Completed Date:  1999-09-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  477-84     Citation Subset:  AIM; IM    
Affiliation:
Family Practice Residency Program, 96th Medical Group USAF, Eglin Air Force Base, Florida 32548, USA. harmanj@eglin.af.mil
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MeSH Terms
Descriptor/Qualifier:
Cervical Ripening / drug effects*
Dinoprostone / therapeutic use
Female
Humans
Labor, Induced / methods*
Misoprostol / therapeutic use
Oxytocics / therapeutic use*
Patient Education as Topic
Teaching Materials
Chemical
Reg. No./Substance:
0/Oxytocics; 363-24-6/Dinoprostone; 59122-46-2/Misoprostol
Comments/Corrections
Erratum In:
Am Fam Physician 1999 Nov 15;60(8):2238

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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