Optimising daytime deliveries when inducing labour using prostaglandin vaginal inserts
| Autor: | Laura Goetzl, Olof Rugarn, Hugh Miller, Deborah A. Wing, Barbara Powers |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Time Factors induction of labour Prostaglandin Inducing labour Active labour Article Dinoprostone Drug Administration Schedule Paediatrics and Reproductive Medicine 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Double-Blind Method Pregnancy Secondary analysis Oxytocics Medicine Humans Start time 030212 general & internal medicine Labor Induced Obstetrics & Reproductive Medicine Misoprostol Vaginal insert Gynecology misoprostol 030219 obstetrics & reproductive medicine business.industry Suppositories Induced Obstetrics and Gynecology Obstetric Delivery Obstetric Labor Parity chemistry Daytime deliveries retrievable prostaglandin vaginal delivery systems Median time Pediatrics Perinatology and Child Health Original Article Female business Delivery medicine.drug |
| Zdroj: | The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, vol 29, iss 4 Miller, H; Goetzl, L; Wing, DA; Powers, B; & Rugarn, O. (2016). Optimising daytime deliveries when inducing labour using prostaglandin vaginal inserts. Journal of Maternal-Fetal and Neonatal Medicine, 29(4), 517-522. doi: 10.3109/14767058.2015.1011117. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/3k2585tn The Journal of Maternal-Fetal & Neonatal Medicine |
| Popis: | © 2015 The Author(s). Published by Taylor & Francis. Objective: To determine induction start time(s) that would maximise daytime deliveries when using prostaglandin vaginal inserts.Methods: Women enrolled into the Phase III trial, EXPEDITE (clinical trial registration: NCT01127581), had labour induced with either a misoprostol or dinoprostone vaginal insert (MVI or DVI). A secondary analysis was conducted to determine the optimal start times for induction by identifying the 12-h period with the highest proportion of deliveries by parity and treatment.Results: Optimal start times for achieving daytime deliveries when using MVI appear to be 19:00 in nulliparae and 23:00 in multiparae. Applying these start times, the median time of onset of active labour would be approximately 08:30 for both parities and the median time of delivery would be the following day at approximately 16:30 for nulliparae and 12:00 (midday) for multiparae. Optimal start times when using DVI appear to be 07:00 for nulliparae and 23:00 for multiparae. Using these start times, the median time of onset of active labour would be the following day at approximately 04:00 and 11:50, and the median time of delivery would be approximately 13:40 and 16:10, respectively.Conclusions: When optimising daytime deliveries, different times to initiate induction of labour may be appropriate depending on parity and the type of retrievable prostaglandin vaginal insert used. |
| Databáze: | OpenAIRE |
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