[Induction of labor. Prostaglandin E2 vaginal tablets compared with intravenous oxytocin for induction of labor in premature rupture of the membranes and immature cervix].
In a material of 88 patients with premature rupture of the membranes and unripe cervix, a comparative investigation was undertaken to compare the effects of prostaglandin E2 (PGE2) vaginal tablets and intravenous oxytocin on induction of labour. The patients were subdivided at random into two groups: 42 patients treatment with PGE2 and 46 treatment with intravenous oxytocin. The results did not reveal any significant differences in the numbers of successful inductions regardless of the Bishop score at the commencement of stimulation but the duration of induction was found to be briefer in the oxytocin group. No significant differences were observed in the numbers of instrumental interventions in the two groups nor in the frequencies of side effects and in the employment of analgesics. Treatment with PGE2 vaginal tablets is considered to be more acceptable by the patients and easier for the staff to use. The tablets were just as safe and reliable in use as intravenous oxytocin for induction of labour in cases of premature rupture of the membranes and Bishop scores less than 6, but the duration of induction was significantly longer.
Andersen
K
K
Aalborg Sygehus Nord, gynackologisk-obstetrisk afdeling.
Møller
M
M
Rix
P
P
Larsen
K W
KW
Ladehoff
P
P
Zdravkovic
M
M
D000282:Administration, Intravaginal; D015232:Dinoprostone / Q000008:administration & dosage*; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000503:physiopathology*; D006801:Humans; D007262:Infusions, Intravenous; D007751:Labor, Induced / Q000379:methods*; D010121:Oxytocin / Q000008:administration & dosage*; D011247:Pregnancy; D013607:Tablets; D002581:Uterine Cervical Incompetence
D013607:Tablets; D010121:Oxytocin; D015232:Dinoprostone
Fødselsinduktion. Prostaglandin E2 vaginaltabletter sammenlignet med intravenøs oxytocin til igangsaetning af fødsel ved primaer vandafgang og umodne cervikale forhold.