A comparison of Lamicel and prostaglandin E2 vaginal gel for cervical ripening before induction of labor

Johnson, I. R.; Macpherson, Marion; Welch, Christopher; Filshie, G. M.

doi:10.1016/0002-9378(85)90147-4

Cited by 40 publications

(26 citation statements)

References 11 publications

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“…A study conducted by SCHREYER et al [15] showed that both methods were efficacious for cervical ripening. Contradictory findings were published concerning the advantages or disadvantages of various modalities [1,8,12,14,16]. Although the use of a certain method might play a crucial role in the course of labor in specific cases, we assume that this would eventually lead to CS only in the minority of cases.…”

Section: Discussionmentioning

confidence: 83%

A simplified preinduction scoring method for the prediction of successful vaginal delivery based on multivariate analysis of pelvic and other obstetrical factors

Herman¹,

Groutzd²,

Bukovsky³

et al. 1993

Jpme

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Most of the popular preinduction scoring methods were created three decades ago, applied to selected populations and based on analysis of each factor separately. In order to overcome these limitations and to try and create a simple and reliable scoring method, 401 inductions of labor were analyzed. Failure was defined as delivery by cesarean section, regardless the indication. Results of multivariate analysis demonstrated that only two of the five factors used by Bishop's method were included (cervical dilatation and fetal head station). Gestational age and parity also constituted important factors and thus the new method incorporates these four factors. The variables among each factor were scored according to their relative risk, obtained from the analysis; dilatation 3 cm or more = 2, dilatation 1-2 cm = 1, fetal head station -1 cm or lower = 1, multiparity = 1, term delivery = 1, closed cervix = 0, station -2 cm or higher = 0, primiparity = 0 and non-term delivery = 0. Comparison of the suggested scoring method and Bishop's method demonstrated that in the low score category our method predicted more accurately cesarean section rate (44.7% and 27.6%, respectively). No difference was noted among the middle or high score groups. More studies among other populations may clarify whether our proposed method really overcomes other methods concerning simplicity, universality and predictability.

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Section: Discussionmentioning

confidence: 83%

A simplified preinduction scoring method for the prediction of successful vaginal delivery based on multivariate analysis of pelvic and other obstetrical factors

Herman¹,

Groutzd²,

Bukovsky³

et al. 1993

Jpme

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“…2 If there are inefficient uterine contractions, this is corrected by oxytocin infusion and cesarean section is done four hours later if there is no progress. Unfavorable cervices were ripened by Prostin E2 3 mg. 7 Fetal distress is suggested by electronic fetal monitoring. The unit does not have a fetal blood pH sampling machine.…”

Section: Methodsmentioning

confidence: 99%

Correlation of Decrease in Cesarean Section Rates and Decrease in Perinatal Mortality at Princess Basma Teaching Hospital in North Jordan

Abu-Heija

Ziadeh

1995

Annals of Saudi Medicine

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A great effort has been made to reduce cesarean section rates at Princess Basma Teaching Hospital in North Jordan. This hospital is the main central and referral hospital in North Jordan with the annual deliveries about 8250. The cesarean section rate has declined from 13.5% to 6.5% and it has been almost constant since then. In 1987, cephalopelvic disproportion and fetal distress were responsible for nearly 65% of cesarean section rates; this has dropped to about 30% in 1990. Thi is due to the change in the approach to management of the two conditions. The reduction in cesarean section rates in the four year period was associated with a drop in the perinatal mortality rate, so our experience shows that cesarean section rates can be reduced without increasing the perinatal mortality rate. Ann Saudi Med 1995;15(1):29-31 AT Abu-Heija, SM Ziadeh, Correlation of Decrease in Cesarean Section Rates and Decrease in Perinatal Mortality at Princess Basma Teaching Hospital in North Jordan. 1995; 15(1): 29-31 In the United States, cesarean section rates have risen to more than 40% between 1976 and 1981; they went down to 25% in 1988.1 This has been associated with a decreasing perinatal mortality rate 2,3 and decreasing maternal mortality and morbidity. 4,5 Maternal mortality is nearly 10 times that for vaginal delivery. Maternal mortality in the United States is 0.02% to 0.07%, in the United Kingdom 0.05%. 6 In this article we are trying to find out whether cesarean section rates can be reduced without affecting the perinatal mortality rate. Material and MethodsPrincess Basma Teaching Hospital is the main central and referral hospital in North Jordan. It serves about one million inhabitants and most patients are of low and middle social class. All obstetric patients are cared for by resident doctors in training in Obstetrics and midwives supervised by consultants from the Ministry of Health and the university. During the study period, there was no significant change in the population or referral pattern.Patients with one lower segment cesarean section were allowed trial of scar. Oxytocin is used to induce or augment labor or both. Cephalopelvic disproportion was diagnosed when there was no further dilatation after more than two hours of regular uterine contractions (contractions lasting for more than 40 seconds and three or more contractions in 10 minutes). Intrauterine pressure was not measured because intrauterine catheters are not available at the unit. Primary dysfunctional labor was diagnosed when the rate of cervical dilatation was less than 0.5 cm/hour in nulliparous patients and less than 0.8 cm/hour in parous patients in the presence of efficient uterine contractions. In the second stage of labor, cephalopelvic disproportion is diagnosed when there is an arrest of descent for more than one hour for nulliparous patients and for more than 30 minutes in multiparous patients.2 If there are inefficient uterine contractions, this is corrected by oxytocin infusion and cesarean section is done four hours later if ...

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“…Lamicel (Cabot Medical, Langhorne, USA) is a polyvinyl alcohol sponge impregnated with magnesium sulpli-ate and comprcssed to form a 3 mm diameter firm cylindrical rod (Johnson et al 1985;Wheeler & Schneider 1983). Lamicel (Cabot Medical, Langhorne, USA) is a polyvinyl alcohol sponge impregnated with magnesium sulpli-ate and comprcssed to form a 3 mm diameter firm cylindrical rod (Johnson et al 1985;Wheeler & Schneider 1983).…”

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confidence: 99%

“…A ate and comprcssed to form a 3 mm diameter firm cylindrical rod (Johnson et al 1985;Wheeler & Schneider 1983). Its mechanism of action is unknown.…”

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confidence: 99%

Retrieval of intrauterine contraceptive devices with missing tails, using Lamicel

Johnson

Moodley

1988

BJOG

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Preliminary cervical dilatation using Lamicel. followed by relatively painless uterine probing was successful in removing 30 of 31 contraceptive devices that had not been removable in the outpatient clinic. This technique is simple, safe, inexpensive and well tolerated. It can be utilized to retrieve intrauterine contraceptive devices with missing tails whcn other conventional clinic procedures fail.

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A comparison of Lamicel and prostaglandin E2 vaginal gel for cervical ripening before induction of labor

Cited by 40 publications

References 11 publications

A simplified preinduction scoring method for the prediction of successful vaginal delivery based on multivariate analysis of pelvic and other obstetrical factors

A simplified preinduction scoring method for the prediction of successful vaginal delivery based on multivariate analysis of pelvic and other obstetrical factors

Correlation of Decrease in Cesarean Section Rates and Decrease in Perinatal Mortality at Princess Basma Teaching Hospital in North Jordan

Retrieval of intrauterine contraceptive devices with missing tails, using Lamicel

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