Polish Gynecological Society Recommendations for Labor Induction

Bomba‐Opoń, Dorota; Drews, Krzysztof; Huras, Hubert; Laudański, Piotr; Paszkowski, Tomasz; Wielgoś, Mirosław

doi:10.5603/gp.a2017.0043

Cited by 34 publications

(62 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reason for that may be the increased proportion of pregnant patients with a chronic condition (for instance obesity, hypertension, diabetes mellitus) and the advancements in diagnostic methods during prenatal care that allow early detection of threats to fetal well-being [1,4]. This is relevant since labor induction is indicated when the risks for mother and/or fetus of continuing pregnancy outweigh the risks of resolving it.…”

Section: Introductionmentioning

confidence: 99%

“…When the cervix is not mature, pre-induction is required for the cervix to ripen [1,5,10]. Different methods can be used for pre-induction including mechanical (Foley catheter or Cook balloon) and pharmacological (prostaglandins) [1,2,5,8,10]. The WHO and FDA recommend the use of prostaglandins in labor induction and pre-induction for numerous reasons.…”

Section: Introductionmentioning

confidence: 99%

“…Whether induction is successful depends on the cervix maturity, which is assessed usually with a modified Bishop score. When the cervix is not mature, pre-induction is required for the cervix to ripen [1,5,10]. Different methods can be used for pre-induction including mechanical (Foley catheter or Cook balloon) and pharmacological (prostaglandins) [1,2,5,8,10].…”

Section: Introductionmentioning

confidence: 99%

“…Induction of labor is an obstetric procedure that is used increasingly more often (20-40% of pregnancies) [1][2][3][4][5][6][7]. The reason for that may be the increased proportion of pregnant patients with a chronic condition (for instance obesity, hypertension, diabetes mellitus) and the advancements in diagnostic methods during prenatal care that allow early detection of threats to fetal well-being [1,4].…”

Section: Introductionmentioning

confidence: 99%

“…Most studies confirm high efficacy of prostaglandins in inducing labor within 24 hours with no related increase in caesarean section rate and with lower oxytocin use. Factors to be taken into account are the risk of overstimulation and uterine tachysystole as well as the contraindications for prostaglandin use such as previous caesarean section or other surgical intervention on the uterus [1][2][3]. The misoprostol vaginal insert (MVI) containing 200 [μg] of misoprostol is a novel product that releases the PGE1 synthetic analog at the rate of 7 μg per hour for 24 hours [12].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Obstetric outcomes of pre-induction of labor with a 200 μg misoprostol vaginal insert

et al. 2017

View full text Add to dashboard Cite

Objectives: Labor induction is indicated in 20% to 40% of pregnancies. Over half of pregnancies qualified for the induction of labor require stimulation of the cervix to ripen. The drug used increasingly more often in pre-induction is the PGE-1 prostaglandin analog -misoprostol 200 μg. Material and methods:The study includes a total of 100 patients qualified for labor pre-induction with Misodel® (misoprostol 200 μg vaginal insert). The study group comprises two subgroups: primigravidas and multiparas. Assessments included: indications for labor pre-induction, time from Misodel application to delivery, caesarean section rate and indications, duration of first and second stage of labor, rate of vaginal deliveries, need for oxytocin or fenoterol administration side effects and newborn condition. Results:The most common indication for labor induction was gestational diabetes and pregnancy past term. The average time to vaginal delivery was 14 h 45 min, time to the onset of active phase of labor -11 h 45 min, time to membranes' rupture -15 h, time to vaginal delivery -14 h 18 min. The times of multiparas were significantly shorter. The rate of vaginal deliveries within 12 hours amounted to 42.42%, while within 24 hours it reached 83.33%. The overall caesarean section rate was 33%. The most common indication for caesarean section was the risk of intrauterine hypoxia. Tachysystole and hyperstimulation was observed in 4% of cases, while abnormalities in the cardiotocographic tracing in 43%. Conclusions:Misodel is an effective method for labor pre-induction, without affecting the caesarean section rate and has no adverse effect on the newborn condition.

show abstract

Section: Introductionmentioning

confidence: 99%