A double blind trial of prostaglandin e 2 and oxytocin given by intravenous infusion after amniotomy for induction of labour in 100 primigravidae with unfavourable induction features is reported. Induction of labour is common when continuing the pregnancy poses a greater risk to the mother or her unborn child. Vaginal prostaglandin pge2 and pgf2a for induction of labour at term. Vaginal prostaglandin pge2 and pgf2a for induction of. In the third trimester, in women with a dead or an anomalous. The use of intravenous prostaglandins in this context has been. Medical induction of labour with prostaglandin e2 dinoprostone is. Balloon catheter is recommended for induction of labour. The spontaneous induction of labor at term in the human is regulated by a series of paracrineautocrine hormones acting in an integrated parturition cascade responsible for promoting uterine contractions. Induction, intracervical prostaglandin e2 gel, oxytocin. Success rate and time class normal abnormal bishop success ratio per cent time min.
The combination of balloon catheter plus oxytocin is recommended as an alternative method of induction of labour when prostaglandins including misoprostol are not available or are contraindicated. Intravenous prostaglandin e2 and f2 alpha can be used to induce labour. Cervical ripening and induction of labour perinatal services bc. Ninetyone pregnant women with unfavourable cervix bishop score no higher than 6 were randomly allocated to induction of labour with either prostaglandin e. Prostaglandins, produced naturally by the body, can ripen the cervix and stimulate contractions. Proposed parturition cascade for labor induction at term. The success of induction of labour depends largely on the parity and the. General principles related to the practice of induction of labour. The present study utilizing an open label design evaluates the efficacy of prostaglandin f2alpha in the induction of labor in normal and complicated primigravid and multigravid pregnancies and in particular in patients with an unripe cervix. Intravenous prostaglandin for induction of labour cochrane. If prostaglandins are not available, intravenous oxytocin alone should be.
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