Membrane Sweeping versus Dinoprostone Vaginal Insert in the Management of Pregnancies beyond 41 Weeks with an Unfavorable Cervix
| Autor: | M F McNamara, John C. Morrison, J D Bass, Suneet P. Chauhan, Everett F. Magann, C M Estes |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
medicine.medical_specialty Dinoprostone law.invention Randomized controlled trial Pregnancy law Oxytocics medicine Humans natural sciences Prospective Studies Prospective cohort study Vaginal insert Cervix Gynecology Obstetrics business.industry Suppositories Pregnancy Outcome Obstetrics and Gynecology medicine.disease female genital diseases and pregnancy complications Clinical trial medicine.anatomical_structure Pediatrics Perinatology and Child Health Female business Cervical Ripening |
| Zdroj: | Journal of Perinatology. 19:88-91 |
| ISSN: | 1476-5543 0743-8346 |
| Popis: | To determine the best method of cervical ripening to prevent postdate inductions in women with an unfavorable cervix at 41 weeks' gestation.Women presenting at 41 weeks' gestation with a Bishop score ofor = 4 received daily dinoprostone (Cervidil) vaginal inserts (group I) or daily membrane sweeping (group II).One-hundred and eighty-two women were prospectively randomized with 91 women in each arm. The women in group II, membrane sweeping, had Bishop scores significantly greater on admission for delivery (p0.001), had less time elapsed from admission to delivery (p = 0.018), and had fewer labor inductions at 42 weeks (p = 0.04) than the women in group I, the dinoprostone group. In addition, a greater number of women in group II were admitted in spontaneous labor (p = 0.006) than in group I. Total antenatal costs for the membrane sweeping group was $15,120 versus $59,540 for the dinoprostone group.Daily membrane sweeping was more effective than dinoprostone administration with fewer postdate inductions at one-fourth the cost. |
| Databáze: | OpenAIRE |
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