[Cervical ripening with prostaglandin E2 in a scarred uterus during the third trimester of pregnancy. Report of 82 cases].
OBJECTIVE
To study the feasibility, the results and the complications of cervical ripening using PG2 in scarred uterus in the third trimester of pregnancy.


METHODS
A retrospective study of 82 cases of which 10 had ruptured membranes. The administration of 0.5 mgs of PG2 by the intracervical route after Beta-mimetic drugs by the intramuscular route.


RESULTS
In 78% of the cases it was possible to improve the condition of the cervix so that labour could be induced or that it would start spontaneously. It was possible to deliver the baby vaginally in 67% of cases. There was no case of ruptured uterus.


CONCLUSIONS
It seems possible that when there is a medical indication to induce labour to ripen the cervix using PG2 in a scarred uterus in the third trimester of pregnancy. The administration of beta-mimetic drugs for ripening and the use of tocometry to monitor labour seemed to be important precautions that have to be taken.
Dommesent
D
D
Clinique de Gynécologie et d'Obstétrique CHRU Caen.
Balouet
P
P
Marie
G
G
Barjot
P
P
Levy
G
G
Muller
G
G
D000420:Albuterol / Q000627:therapeutic use; D002584:Cervix Uteri / Q000187:drug effects* / Q000502:physiology; D015232:Dinoprostone / Q000494:pharmacology / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D012189:Retrospective Studies; D016064:Vaginal Birth after Cesarean
D015232:Dinoprostone; D000420:Albuterol
La maturation cervicale par prostaglandine E2 sur utérus cicatriciel au troisième trimestre de la grossesse. A propos de 82 cas.