title: [Termination of pregnancy and intra-uterine fetal death after 14 weeks of pregnancy: Which protocol for induction of labour in 2010?].
abstract: The induction of labour for intra-uterine fetal death (IUFD) and termination of pregnancy (TOP) is a common obstetrical situation. The management of these specific inductions has improved.
  
  
  OBJECTIVE
  Define a protocol that meets the several constraints of security, efficiency and cost for labor induction for IUFD and TOP.
  
  
  METHODS
  Review.
  
  
  RESULTS
  The protocol chosen uses the mifepristone 200mg by oral way on the first day for cervical preparation, completed by placing laminaria tents the evening of the 2nd day if the membranes are unreachable. On the 3rd day, in the birth room, the labor starts under analgesia, by using misoprostol 400 μg through vaginal way every 3 hours. Specific situations such as scarred uterus need modifications.
  
  
  CONCLUSIONS
  Many protocols are described in the literature, they differ in their molecules, their dosages and their associations. This review offers a protocol that meets the announced objectives.
authors.affiliation: Hôpital Antoine-Béclère, Assistance publique-Hôpitaux de Paris, université Paris Sud XI, Clamart, France. laurencegitz@voila.fr
authors.forename: L
authors.initials: L
authors.lastname: Gitz
authors.forename: O
authors.initials: O
authors.lastname: Morel
authors.forename: O
authors.initials: O
authors.lastname: Thiebaugeorges
authors.forename: J
authors.initials: J
authors.lastname: Sibiude
authors.forename: P
authors.initials: P
authors.lastname: Desfeux
authors.forename: E
authors.initials: E
authors.lastname: Barranger
mesh_terms: D000028:Abortion, Induced / Q000379:methods*; D002985:Clinical Protocols; D005260:Female; D005313:Fetal Death; D006801:Humans; D011247:Pregnancy; D011262:Pregnancy Trimester, Second