Preinduction cervical ripening with sequential use of prostaglandin E2 gel

Two hundred patients received a prostaglandin E2-containing gel for preinduction cervical ripening. The gel was administered every 6 hours until a Bishop score greater than or equal to 7 was obtained or the attending physician deemed induction necessary. Forty-eight percent of the patients labored &...

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Bibliographic Details
Published inAmerican journal of obstetrics and gynecology Vol. 154; no. 6; p. 1275
Main Authors Prins, R P, Neilson, Jr, D R, Bolton, R N, Mark, 3rd, C, Watson, P
Format Journal Article
LanguageEnglish
Published United States 01.06.1986
Subjects
Cervix Uteri - drug effects
Cervix Uteri - physiology
Cesarean Section
Dinoprostone
Female
Gels
Gestational Age
Humans
Labor, Induced - methods
Labor, Obstetric - drug effects
Parity
Pelvimetry
Pregnancy
Prostaglandins E - administration & dosage
Prostaglandins E - therapeutic use
Vagina
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Summary:Two hundred patients received a prostaglandin E2-containing gel for preinduction cervical ripening. The gel was administered every 6 hours until a Bishop score greater than or equal to 7 was obtained or the attending physician deemed induction necessary. Forty-eight percent of the patients labored "spontaneously" after one or more gel applications. The average cumulative change in Bishop score with sequential application of the gel was 2.7. Sequential application of the prostaglandin gel proved no more effective in the process of preinduction cervical ripening than single application of the gel with a similar period of observation.
ISSN:0002-9378
DOI:10.1016/0002-9378(86)90712-X