A randomized prospective study of misoprostol and dinoproston for induction of labor

Autor: Patrick Belfrage, L. K. Gjessing, E. Smedvig, Torbjørn Moe Eggebø, Inger Økland
Rok vydání: 2000
Předmět:
Zdroj: Acta Obstetricia et Gynecologica Scandinavica. 79:1065-1068
ISSN: 0001-6349
DOI: 10.1034/j.1600-0412.2000.0790121065.x
Popis: Background. Misoprostol, a prostaglandin E1 analog registered for the prevention of gastric ulcers in NSAID-drug users, has been reported to be more effective for labor induction than the standard prostaglandin, dinoproston after vaginal application. There have been some concerns about possible hyperstimulation of the uterine activity and about the safety for the fetus with this new drug.Methods. Two hundred and ten patients, 36 weeks pregnant or more, with an unfavorable cervix, single pregnancy, and intact membranes were randomized to receive misoprostol, 50 micrograms intravaginally every 6 hours, or dinoproston 0.5 mg intracervically every 12 hours for a maximum of 24 hours, for labor induction.Results. Time from induction to delivery was shorter in both primigravidae and multigravidae after the application of misoprostol than dinoproston and failed induction was more common after dinoproston than after misoprostol. There were no differences in the condition of the newborns in the two groups, accordin...
Databáze: OpenAIRE