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Created on : 28 Mar 2006
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Intravaginal misoprostol versus Foley catheter for cervical ripening and induction of labor. {Nigeria}. Int J Gynaecol Obstet. 2005 Jun;89(3):263-7.

Author(s) :

Afolabi BB, Oyeneyin OL, Ogedengbe OK.

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Abstract (English)  :

OBJECTIVE: To compare the efficacy and safety of 100 microg of intravaginal misoprostol with intracervical Foley catheter for cervical ripening and induction of labor.

METHOD: One hundred women being induced in the Lagos University Teaching Hospital, Nigeria, were randomized to receive a single 100 microg dose of misoprostol intravaginally or intracervical insertion of Foley catheter. Data analyses were by the Student’s t-test and chi-square test.

RESULT: Misoprostol was more effective in terms of induction to delivery interval (11.84+/-5.43 versus 20.03+/-4.68 h, P<0.05), change in Bishop score, and number delivered within 24 h, in patients with a one-time successful induction. Uterine hyperactivity and rupture were more frequent in the misoprostol group.

CONCLUSION: A single 100 microg dose of intravaginal misoprostol is more efficacious than intracervical insertion of Foley catheter for cervical ripening and induction of labor. Further studies using lower doses are needed to determine the safest dose.

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Keywords :

➡ evidence-based medicine/midwifery ; induction of labor ; ripening of cervix ; fetal distress ; misoprostol (Cytotec) ; post-term pregnancy

Author of this record :

Cécile Loup — 28 Mar 2006
➡ latest update : Bernard Bel — 02 Dec 2007

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