| Outpatient induction -- how safe. | |
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MedLine Citation:
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PMID: 19492924 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There is a world-wide interest in outpatient care. Induction of labor is commonly offered to women with prolonged pregnancy, and evidence from randomized controlled studies suggest that inpatient and outpatient induction achieve comparative maternal and fetal outcomes. However, safety data are very limited. Careful selections of appropriate patients as well as standardized monitoring protocols are essential before outpatient induction can be initiated. Uterine hyperstimulation with fetal heart rate deceleration and other maternal or fetal adverse events are rare but unpredictable. Unrecognized fetal hypoxia due to uterine contractions remains an unsolved problem after discharge from the hospital. The ideal method for outpatient cervical ripening is controversial. The local application of nitric oxide donors prior to induction might be a promising approach. Larger studies are necessary before widespread use of outpatient cervical ripening by prostaglandins or other cervical ripening agents can be advocated. |
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Authors:
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Werner H Rath |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of perinatal medicine Volume: 37 ISSN: 1619-3997 ISO Abbreviation: J Perinat Med Publication Date: 2009 |
Date Detail:
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Created Date: 2009-09-03 Completed Date: 2010-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: Germany |
Other Details:
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Languages: eng Pagination: 461-7 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Faculty of Medicine University RWTH Aachen, Aachen, Germany. wrath@ukaachen.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care
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methods Dinoprostone / administration & dosage Female Germany Humans Infant, Newborn Isosorbide Dinitrate / administration & dosage, analogs & derivatives Labor, Induced / methods* Nitric Oxide Donors / administration & dosage Oxytocics / administration & dosage Pregnancy Safety |
| Chemical | |
Reg. No./Substance:
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0/Nitric Oxide Donors; 0/Oxytocics; 16051-77-7/isosorbide-5-mononitrate; 363-24-6/Dinoprostone; 87-33-2/Isosorbide Dinitrate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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