title: Failure of prostaglandin induction in an obstructive müllerian abnormality.
abstract: Failure of prostaglandins E2 and F2 alpha to induce labor for intrauterine fetal death is infrequent. The factors contributing to these failures remain unclear. We describe a case of failed induction with the use of a combination of vaginal prostaglandin E2 and systemic prostaglandin F2 alpha in a 24-week intrauterine fetal death in association with a noncommunicating rudimentary uterine horn. The implications of this müllerian abnormality for theories of parturition are discussed.
authors.affiliation: Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, Hawaii.
authors.forename: G S
authors.initials: GS
authors.lastname: Letterie
authors.forename: J E
authors.initials: JE
authors.lastname: Murray
authors.forename: C P
authors.initials: CP
authors.lastname: Samlaska
mesh_terms: D000328:Adult; D015237:Dinoprost / Q000627:therapeutic use*; D015232:Dinoprostone / Q000627:therapeutic use*; D005260:Female; D005313:Fetal Death; D005865:Gestational Age; D006801:Humans; D007751:Labor, Induced; D009095:Mullerian Ducts / Q000002:abnormalities; D011247:Pregnancy; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology
chemical_list: D015237:Dinoprost; D015232:Dinoprostone