Database - (CIANE) | |
Description of this bibliographical database (CIANE website) |
https://ciane.net/id=290 | ➡ Modify this record |
Bibliographical entry (without author) : | Induction of labour with an unfavourable cervix. Best Pract Res Clin Obstet Gynaecol. 2003 Oct;17(5):777-94. |
Author(s) : | Justus Hofmeyr G. |
Year of publication : | 2003 |
URL(s) : | |
Résumé (français) : |
|
Abstract (English) : | Labour induction is undertaken when the advantages for the mother and/or the baby are considered to outweigh the disadvantages. When the uterine cervix is unfavourable, oxytocin, with or without amniotomy, is frequently ineffective. Vaginal prostaglandin E(2) is most commonly used if it is affordable. Evidence regarding many alternative methods is discussed in this chapter. Of particular interest are misoprostol and extra-amniotic saline infusion. Misoprostol, an orally active prostaglandin E(1) analogue, has been used widely by the vaginal and oral routes for labour induction at or near term. Several recent trials have confirmed that it is highly effective. Overall Caesarean section rates appear to be reduced, despite a relative increase in Caesarean sections for fetal heart rate abnormalities. Concern remains regarding increased rates of uterine hyperstimulation and meconium-stained amniotic fluid, although data on perinatal outcome have been reassuring. Postpartum haemorrhage may be increased following labour induction with misoprostol, and isolated reports of uterine rupture, with or without previous Caesarean section, have appeared. Using small dosages appears to reduce adverse outcomes. Very large trials are needed to evaluate rare adverse outcomes. Extra-amniotic saline infusion is an effective method which appears to reduce the risk of uterine hyperstimulation that occurs with the use of exogenous uterotonics. |
Sumário (português) : |
|
Resumen (español) : |
|
Comments : | |
Argument (français) : | Comment déclencher après une rupture spontanée des membranes, sur un col défavorable ? Le déclenchement à l’aide du misoprostol aaugmente le risque d’hémorragies post-partum. |
Argument (English): | |
Argumento (português): |
|
Argumento (español): |
|
Keywords : | ➡ c-section/caesarean ; active management of labor ; amniotomy ; oxytocin ; fetal distress ; induction of labor ; misoprostol (Cytotec) ; post-term pregnancy ; postpartum hemorrhage |
Author of this record : | Cécile Loup — 22 Dec 2003 |
Discussion (display all languages) | ||
---|---|---|
New expert query --- New simple query
Creating new record --- Importing records
User management --- Dump database --- Contact
This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
➡ Sign in or create an account to follow changes or become an editor.
➡ Contact bibli(arobase)ciane.net for more information.
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public databases towards the support of parents and caregivers’ informed decisions with respect to childbirth |