scholarly journals Efficacy and safety of oral misoprostol vs transvaginal balloon catheter for labor induction: An observational study within the SWEdish Postterm Induction Study (SWEPIS)

Author(s):  
Mårten Alkmark ◽  
Ylva Carlsson ◽  
Sophia Brismar Wendel ◽  
Helen Elden ◽  
Helena Fadl ◽  
...  
2017 ◽  
Vol 66 (1) ◽  
pp. 9-20
Author(s):  
Gleb V Blagodarniy ◽  
Elena V Mozgovaya

Worldwide incidence of induced births continues to rise. In developed countries, labor induction frequency approaching 30% of total delivery. The procedure of induction of labor can not be considered completely secure, which leads to the need to find an effective and safe method of labor induction. The aim of the study was to determine the effectiveness of various schemes of labor induction with prostaglandin E1 and their effect on perinatal outcomes. We studied vaginal and oral misoprostol, as well as induction of labor scheme “chinin-oxytocin”. Evaluated the main parameters of the act of birth and the condition of the fetus and newborn. The high efficiency of misoprostol for induction of labor used, as in the oral and vaginal administration. It was revealed that vaginal administration of misoprostol every third pregnant woman meets irregular, discoordinated contructions, whereas the oral administration of misoprostol this anomaly uterine activity is less common. Most of the children in all groups were born with Apgar scores of 7 points or higher. The data indicate that the efficacy and safety of misoprostol used for labor induction.


2011 ◽  
Vol 116 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Amporn Thaisomboon ◽  
Kusol Russameecharoen ◽  
Prapat Wanitpongpan ◽  
Buraya Phattanachindakun ◽  
Alita Changnoi

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jing Peng ◽  
Ruobing Li ◽  
Shuguo Du ◽  
Heng Yin ◽  
Min Li ◽  
...  

Abstract Background This study aims to evaluate the efficacy and safety of the induction of labour in mid-trimester pregnancy using a double-balloon catheter (DBC) within 12 h versus within 12–24 h. Methods In this retrospective study, a total of 58 pregnant women at 14 + 0 weeks to 27 + 6 weeks of gestation were enrolled as research subjects, and they underwent the intended termination of pregnancy at our birth centre from January 1, 2017, to June 31, 2019. Based on the duration of DBC, the patients were divided into two groups, namely, the DBC group within 12 h and the DBC group within 12–24 h. Results All 58 cases were successful vaginal deliveries, and no one chose to undergo caesarean section. The success rate of induction (successful abortion of the foetus and placenta without the implementation of dilation and evacuation) was higher in the DBC group within 12–24 h (96.3%, 29/31) than in the DBC group within 12 h (71.0%, 18/27) (p < 0.05). Additionally, the time from DBC removal to delivery in the DBC group within 12–24 h was significantly shorter than that in the DBC group within 12 h (3.0 h versus 17.8 h) (p < 0.05), and the degree of cervical dilation after DBC removal in the DBC group within 12–24 h was larger than that in the DBC group within 12 h (p < 0.05). Conclusion In the clinic, the placement time of DBC generally lasts for approximately 12 h. However, considering that the cervical condition is immature in the mid-trimester, properly extending the placement time of DBC to 24 h will benefit cervical ripening and reduce the chance of dilation and evacuation.


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