Preinduction cervical ripening: a comparison fo intracervical prostaglandin E2 gel versus the Foley catheter
Article Abstract:
Cervical insertion of prostaglandin E2 (PGE2) gel and insertion of a balloon catheter proved equally effective in ripening the cervix prior to labor induction. Women anticipating labor induction with a Bishop score (a 10-point scale measuring cervical readiness for labor) less than or equal to 4 were randomly assigned to have PGE2 gel cervically instilled or a balloon cather instilled and inflated the night before induction. Thirty-four women received the catheter and 28 the gel. The PGE2 group averaged an increase in Bishop score of 4.1 and the catheter group averaged 4.8. The cesarean rate was 18% in the catheter group versus 25% in the PGE2 group. In the catheter group, half of labors were free of complications versus 36% of the PGE2 group. This was primarily due to a fetal distress rate of 24% in the catheter group versus 39% in the PGE2 group. These differences were not statistically significant.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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A randomized clinical trial of prostaglandin E2 intracervical gel and a slow release vaginal pessary for preinduction cervical ripening
Article Abstract:
A vaginal pessary that slowly releases prostaglandin E2 appears to be more effective in softening the cervix in preparation for childbirth. The cervix must soften and dilate so the baby can pass through it, and prostaglandins are often used for this purpose. Researchers compared a slow-release vaginal pessary called Cervidil with a prostaglandin E2 cervical gel call Prepidil in 90 women who were randomly assigned to one or the other. The Cervidil pessary softened the cervix faster and shortened the time to delivery.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1998
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Preinduction cervical ripening: a randomized prospective comparison of the efficacy and safety of intravaginal and intracervical prostaglandin E(sub)2 gel
Article Abstract:
Vaginally administered prostaglandin E2 gel may be as safe and effective as insertion into the cervix. Prostaglandin E2 gel is used to soften the cervix in women undergoing induction of labor. Researchers randomly assigned 83 women undergoing induction of labor to either vaginal or cervical insertion of prostaglandin E2 gel. No differences were seen in any parameters relating to the effectiveness of the gel or the effectiveness of labor induction or of complications or problems relating to the gel.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
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