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https://ciane.net/id=1912

Criado em : 28 Mar 2006
Alterado em : 02 Dec 2007

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Nota bibliográfica (sem autor) :

A randomized comparison of transcervical Foley catheter to intravaginal misoprostol for preinduction cervical ripening. {USA}. Obstet Gynecol. 2001 Apr;97(4):603-7.

Autores :

Sciscione AC, Nguyen L, Manley J, Pollock M, Maas B, Colmorgen G.

Ano de publicação :

2001

URL(s) :

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

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To compare the efficacy of intravaginal misoprostol tablets with transcervical Foley catheter for preinduction cervical ripening.

METHODS: Pregnant women who presented for induction of labor with unfavorable cervices (Bishop score less than 6) were assigned randomly to intravaginal misoprostol (50 microg tablet every 4 hours for a maximum of six doses) or 30-mL Foley catheter placed transcervically with maintenance of traction.

RESULTS: Among 111 women, 53 were allocated to misoprostol and 58 to Foley bulb. Contractile abnormalities were more frequent in the misoprostol group (20.4%) than the Foley group (0%) (P <.001). No statistically significant differences were noted between groups in change in Bishop score, preinduction cervical ripening times, and total induction times. There were no statistically significant differences in mode of delivery or adverse neonatal outcomes. Uterine rupture occurred in one woman with two previous cesarean deliveries in the misoprostol group.

CONCLUSION: Intravaginal misoprostol and transcervical Foley catheter are equivalent for cervical ripening. Uterine contractile abnormalities and meconium passage are more common with misoprostol.

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 ; stresse fetal ; misoprostol (Cytotec) ; tempo de termo excedido

Autor da esta ficha :

Cécile Loup — 28 Mar 2006
➡ última atualização : Bernard Bel — 02 Dec 2007