Ripening of the unfavorable cervix with prostaglandin E2: intracervical versus intravaginal route.

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dc.contributor.authorHerabutya, Yen_US
dc.contributor.authorO-Prasertsawat, Pen_US
dc.date.accessioned2009-05-27T21:28:52Z
dc.date.available2009-05-27T21:28:52Z
dc.date.issued1993-01-01en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractForty-eight term primiparae women with unripe cervix (Bishop score of 4 or less) were randomly given either 1.5 mg of prostaglandin E2 in 3 ml of gel intracervically or 3 mg prostaglandin E2 tablet intravaginally to ripen the cervix. Intracervical administration caused favorable cervix in 36 per cent compared with 12 per cent in the intravaginal group, and induced spontaneous labor in 41 per cent compared with 69 per cent in the intravaginal group. Oxytocin augmentation was required in 88 per cent in the intracervical group compared to 62 per cent in the intravaginal group. The only significant difference statistically was the mean duration of the insertion of PGE2 to delivery being 16 hours and 23.5 hours in the intracervical and intravaginal routes respectively (P = 0.02). There was one case of hyperstimulation and one case of maternal death from amniotic fluid embolism in this study.en_US
dc.description.affiliationDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.en_US
dc.identifier.citationHerabutya Y, O-Prasertsawat P. Ripening of the unfavorable cervix with prostaglandin E2: intracervical versus intravaginal route. Journal of the Medical Association of Thailand. 1993 Jan; 76 Suppl 1(): 63-8en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/44865
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdministration, Intravaginalen_US
dc.subject.meshAdulten_US
dc.subject.meshCervix Uteri --drug effectsen_US
dc.subject.meshDinoprostone --administration & dosageen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLabor, Induceden_US
dc.subject.meshPregnancyen_US
dc.subject.meshProspective Studiesen_US
dc.titleRipening of the unfavorable cervix with prostaglandin E2: intracervical versus intravaginal route.en_US
dc.typeClinical Trialen_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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