2013
DOI: 10.1016/j.ajog.2013.05.005
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Progress of labor in women induced with misoprostol versus the Foley catheter

Abstract: Objective To estimate and compare the duration and progress of labor in women induced with misoprostol versus Foley catheter plus oxytocin. Study Design We performed a retrospective cohort study of labor progress among 617 consecutive term pregnancies induced with misoprostol (n=503) or Foley catheter plus oxytocin (n=114) who completed the first stage of labor. Labor duration and progress in the entire cohort, and stratified by parity, were compared in multivariable interval-censored regression models adjus… Show more

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Cited by 14 publications
(15 citation statements)
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“…8,10,[13][14][15] Moreover, we did not find any differences in mode of delivery or in early neonatal outcomes between the study groups, also in accordance with similar studies. 8,10 Our data show that while inducing labor in patients with term oligohydramnios and an unfavorable cervix, the use of PGE2 resulted in a higher rate of discontinuing the induction process, mostly because of the onset of active labor. Although not statistically significant, PGE2 showed a trend toward attaining initial cervical dilation and the active stage of labor more rapidly.…”
Section: Discussionsupporting
confidence: 94%
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“…8,10,[13][14][15] Moreover, we did not find any differences in mode of delivery or in early neonatal outcomes between the study groups, also in accordance with similar studies. 8,10 Our data show that while inducing labor in patients with term oligohydramnios and an unfavorable cervix, the use of PGE2 resulted in a higher rate of discontinuing the induction process, mostly because of the onset of active labor. Although not statistically significant, PGE2 showed a trend toward attaining initial cervical dilation and the active stage of labor more rapidly.…”
Section: Discussionsupporting
confidence: 94%
“…However, it is considered safe and effective for inducing labor in patients with a low Bishop score. 7,8,12 To add to the current knowledge regarding this controversy, we compared outcomes of two modes of labor induction for term patients with oligohydramnios, prostaglandins and a mechanical method. The mechanical, double-balloon catheter causes fewer contractions and therefore, less of the associated concerns when oligohydramnios is present.…”
Section: Discussionmentioning
confidence: 99%
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“…Enquanto no nosso estudo foi encontrado um intervalo médio de 14,7 horas até o parto, outros autores observaram um intervalo médio que variou de 16,5 a 29,6 horas [25][26][27] . Da mesma forma, a duração do trabalho de parto no presente estudo foi de 7,2 horas, menor do que a média encontrada em outro estudo, que foi de 14,2 horas com a sonda e de 12 horas na indução com misoprostol 28 . Provavelmente, esse tempo médio inferior foi devido à realização de cesarianas, como explicado anteriormente, pela necessidade resolutiva dos médicos plantonistas.…”
Section: Intervalo Da Colocação Da Sonda E O Parto (Variação) (N=9) 4unclassified