Cervical ripening in the third trimester of pregnancy with intravaginal misoprostol: a double-blind, randomized, placebo-controlled study

Autor: Li Weiji, Su Xiaowen, Ding Yulian, Wang Feng, Ouyang Weixiang, Wang Zehua, Xu Liuqing
Rok vydání: 2000
Předmět:
Zdroj: Journal of Tongji Medical University = Tong ji yi ke da xue xue bao. 18(3)
ISSN: 0257-716X
Popis: To evaluate the safety and efficacy of intravaginal misoprostol for cervical ripening in the third trimester, a randomized, double-blind, placebo-controlled trial was conducted in 85 patients indicated for induction of labor and with unfavorable cervices. They were randomly assigned to receive either intravaginal misoprostol (100 mg) or placebo placed in the posterior vaginal fornix. The Bishop score, fetal heart rate and Doppler blood flow velocity waveforms were measured before and 12 h after drug administration. Placenta and decidu were histopathologically observed in some cases. Among 85 patients enrolled, 43 received misoprostol and 42 received placebo. Whereas the mean initial Bishop scores were not significantly different between the two growps, the mean Bishop score in misoprostol group was significantly better than those in placebo group. The mean change in Bishop score was also significantly different (4. 4 for misoprostol versus 1. 0 for placebo,P
Databáze: OpenAIRE