Effect of vaginal washing before intravaginal dinoprostone insertion for labor induction: A randomized clinical trial

2018 ◽  
Vol 44 (12) ◽  
pp. 2149-2155 ◽  
Author(s):  
Çigdem Yayla Abide ◽  
Meryem Kurek Eken ◽  
Enis Ozkaya ◽  
Ilter Yenidede ◽  
Evrim Bostanci Ergen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Labor Induction ◽  
Vaginal Washing

Sublingual Misoprostol for Labor Induction: A Randomized Clinical Trial

2005 ◽  
Vol 105 (2) ◽  
pp. 365-371 ◽  
Author(s):  
Samuel B. Wolf ◽  
Luis Sanchez-Ramos ◽  
Andrew M. Kaunitz
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Labor Induction ◽  
Sublingual Misoprostol

Electroacupuncture for cervical ripening prior to labor induction: a randomized clinical trial

2010 ◽  
Vol 283 (6) ◽  
pp. 1233-1238 ◽  
Author(s):  
Gisèle P. C. Gribel ◽  
Luis Guillermo Coca-Velarde ◽  
Renato A. Moreira de Sá
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Labor Induction ◽  
Cervical Ripening

scholarly journals 370: Distraction for pain management during labor induction: A randomized clinical trial.

2018 ◽  
Vol 218 (1) ◽  
pp. S228-S229
Author(s):  
Christopher L. Dixon ◽  
Louis Monsivais ◽  
Petra Chamseddine ◽  
Luis D. Pacheco ◽  
George Saade ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Pain Management ◽  
Randomized Clinical Trial ◽  
Labor Induction

scholarly journals Vaginal Misoprostol Versus Intracervical Foley Catheter for Cervical Ripening in Postdate Primigravid Women: a Randomized Clinical Trial

2021 ◽  
Author(s):  
Nazanin Abdi ◽  
Azin Alavi ◽  
Forough Pakbaz ◽  
Hossein Darabi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Neonatal Intensive Care ◽  
Placental Abruption ◽  
Foley Catheter ◽  
Fetal Distress ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Cervical Canal ◽  
Vaginal Misoprostol

Abstract Background: Being one of the most common indications of labor induction, postdate pregnancy can lead to serious maternal and fetal complications. In this study we aimed to compare vaginal misoprostol with intracervical Foley catheter (FC) for cervical ripening in postdate primigravid women. Methods: This randomized clinical trial included 120 primigravid women aged 18-35 years with singleton and postdate pregnancies and Bishop score ≤4. Participants were randomized into two equal groups. The first group received 25 µg vaginal misoprostol and the second group had an 18 Fr FC inserted into their cervical canal. Labor induction was performed using oxytocin in both groups if progression of labor or true contractions did not occur within 6 hours of the interventions. In case of nonreassuring fetal heart rate, fetal distress, placental abruption, or prolonged labor, C-section was performed. Results: The frequency of NVD, C-section, meconium-stained amniotic fluid, and neonatal intensive care unit admission did not differ significantly between groups. Placental abruption and uterine tachysystole occurred more frequently in the misoprostol group (15.0 vs. 1.7%, P=0.008 and 21.7 vs. 0.0%, P<0.001, respectively). A significantly higher number of women in the FC group required oxytocin (73.3 vs. 41.7%, P<0.001). Duration of labor was significantly higher in the FC group (P=0.001). Conclusions: Due to the lower rate of placental abruption and uterine tachysystole observed with FC, it appears to be superior to vaginal misoprostol for cervical ripening in postdate primigravid women; however, its longer labor duration and higher oxytocin requirement should be taken into consideration. Trial registration: Iranian Registry of Clinical Trials, IRCT20181218042033N4. Registered 19/04/2020. Retrospectively registered, https://www.irct.ir/trial/47037

scholarly journals Vaginal misoprostol versus intracervical Foley catheter for cervical ripening in postdate primigravid women: a randomized clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazanin Abdi ◽  
Azin Alavi ◽  
Forough Pakbaz ◽  
Hossein Darabi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Placental Abruption ◽  
Foley Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Normal Vaginal Delivery ◽  
Cervical Canal ◽  
Link Type ◽  
Vaginal Misoprostol

Abstract Background Being one of the most common indications of labor induction, postdate pregnancy can lead to serious maternal and fetal complications. In this study we aimed to compare vaginal misoprostol with intracervical Foley catheter (FC) for cervical ripening in postdate primigravid women. Methods This randomized clinical trial included 120 primigravid women aged 18–35 years with singleton,  postdate pregnancies, and Bishop score ≤ 4. Participants were randomized into two equal groups. The first group received 25 µg vaginal misoprostol and the second group had an 18 Fr FC inserted into their cervical canal. Labor induction was performed using oxytocin in both groups if progression of labor or true contractions did not occur within 6 h of the interventions. In case of nonreassuring fetal heart rate, fetal distress, placental abruption, or prolonged labor, C-section was performed. Results The frequency of normal vaginal delivery, Cesarean section, meconium-stained amniotic fluid, and neonatal intensive care unit admission did not differ significantly between groups. Placental abruption and uterine tachysystole occurred more frequently in the misoprostol group (15.0 vs. 1.7%, P = 0.008 and 21.7 vs. 0.0%, P < 0.001, respectively). A significantly higher number of women in the FC group required oxytocin (73.3 vs. 41.7%, P < 0.001). Duration of labor was significantly higher in the FC group (P = 0.001). Conclusions Due to the lower rate of placental abruption and uterine tachysystole observed with FC, it appears to be superior to vaginal misoprostol for cervical ripening in postdate primigravid women; however, its longer labor duration and higher oxytocin requirement should be taken into consideration. Trial registration Iranian Registry of Clinical Trials, IRCT20181218042033N4. Registered 19/04/2020. Retrospectively registered, https://www.irct.ir/trial/47037

Randomized clinical trial of LigasureTM versus open haemorrhoidectomy

2002 ◽  
Vol 89 (2) ◽  
pp. 154-157 ◽  
Author(s):  
F. F Palazzo ◽  
D. L Francis ◽  
M. A Clifton
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial
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