Concurrent use of PGF2 alpha, vibrations to the cervix uteri and amniotomy to induce labor after intrauterine fetal death.
A triad consisting of (a) prostaglandin F2 alpha infusion, (b) dilation of the uterine cervix by low frequency vibrations and (c) early low amniotomy was used to induce labor in ten women after intrauterine fetal death had occurred. Vaginal delivery was successful in all cases, with a mean induction-to-delivery interval of 5.4 +/- 0.8 hours. Vibratory dilation effectively prepares the cervix for the intense prostaglandin-induced uterine contractions and thereby reduces the risk of cervical laceration and fistula. The dilation of the cervical canal also makes an early low amniotomy possible and easy. This study demonstrates a highly effective, safe and relatively nontraumatic method for uterine evacuation after intrauterine fetal death.
D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D007751:Labor, Induced / Q000379:methods*; D010865:Pilot Projects; D011247:Pregnancy; D011446:Prospective Studies; D011461:Prostaglandins F, Synthetic / Q000009:adverse effects / Q000627:therapeutic use*; D014732:Vibration / Q000627:therapeutic use*
D011461:Prostaglandins F, Synthetic