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https://ciane.net/id=1918

Criado em : 29 Mar 2006
Alterado em : 02 Dec 2007

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Nota bibliográfica (sem autor) :

Use of misoprostol for cervical ripening. {USA}. South Med J. 2000 Sep;93(9):881-4.

Autores :

Katz VL, Farmer RM, Dean CA, Carpenter ME.

Ano de publicação :

2000

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

BACKGROUND: Misoprostol, the prostaglandin E1 analog, is increasingly used for cervical ripening and induction of labor. We evaluated our experience with misoprostol in an open-label setting.

METHODS: Patients were selected for cervical ripening based on clinical profile. At 3 cm cervical dilation, misoprostol was discontinued and other means of labor augmentation were used. Over 13 months, 470 inductions of labor occurred, and 455 charts were available; 254 patients (56%) received misoprostol for cervical ripening, and 144 (32%) received dinoprostone (prostaglandin E2).

RESULTS: With misoprostol, mean time from beginning of contractions until delivery was 7 hours, 30 minutes; vaginal birth occurred in 85% of cases, and spontaneous labor occurred in 38%. Hyperstimulation occurred in 4 cases (1.6%) and precipitate labor in 7 (3%). All infants were discharged in excellent condition; one had a 5-minute Apgar score <7, and 33 (13%) had meconium, none with aspiration. Twenty-three patients who had had a previous cesarean section received misoprostol and delivered vaginally.

CONCLUSION: Misoprostol was found to be a safe and effective agent for cervical ripening as part of labor induction.

Sumário (português)  :

Resumen (español)  :

Comentários :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Palavras-chaves :

➡ parto vaginal após cesariana ; medicina baseada em evidências ; cesariana ; indução ; amadurecimento do colo do útero ; misoprostol (Cytotec) ; tempo de termo excedido ; dilatação

Autor da esta ficha :

Cécile Loup — 29 Mar 2006
➡ última atualização : Bernard Bel — 02 Dec 2007