Comparing the effects of vaginal misoprostol, laminaria, and extra amniotic saline infusion on cervical ripening and induction of labor

Autor: Zohreh Tabasi, Elaheh Mesdaghinia, Masoumeh Abedzadeh-Kalahroudi, Mojtaba Sehat, Aida Panahandeh
Jazyk: English<br />Korean
Rok vydání: 2020
Předmět:
Zdroj: Obstetrics & Gynecology Science, Vol 63, Iss 3, Pp 261-269 (2020)
Druh dokumentu: article
ISSN: 2287-8572
2287-8580
DOI: 10.5468/ogs.2020.63.3.261
Popis: ObjectiveThis study aimed to compare the effects of vaginal misoprostol, laminaria, and extra-amniotic saline infusion (EASI) on cervical ripening.MethodsThis randomized controlled trial was conducted on 195 women with singleton pregnancies and unripe cervices. Participants were randomly allocated to 3, 65-person groups: a misoprostol, a laminaria, and an EASI group. The interventions in the misoprostol, laminaria, and EASI groups included a single 25-µg vaginal misoprostol suppository, an intracervical laminaria, and a transcervical Foley catheter, respectively. The groups were compared with each other regarding time intervals from labor induction to labor active phase and delivery, cervical dilation, Bishop scores 6 hours after induction, delivery type, length of hospital stay, and complications.ResultsThere were no significant differences among the groups regarding maternal ages, gestational ages, body mass indices, baseline cervical dilations, and Bishop scores (P>0.05). Six hours after induction, the Bishop score and cervical dilation were significantly greater in the EASI group than in the other 2 groups (P
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