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Induction of labor ...
Induction of labor in women with a uterine scar
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- Stenson, David (author)
- Karolinska Inst, Soder Hosp, Sect Obstet & Gynecol, Dept Clin Sci & Educ, S-11883 Stockholm, Sweden.
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- Wallstrom, Tove (author)
- Karolinska Institutet
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- Sjostrand, Maria (author)
- Karolinska Inst, Soder Hosp, Sect Obstet & Gynecol, Dept Clin Sci & Educ, S-11883 Stockholm, Sweden.
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- Åkerud, Helena (author)
- Uppsala universitet,Obstetrik & gynekologi
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- Gemzell-Danielsson, Kristina (author)
- Karolinska Institutet
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- Wiberg-Itzel, Eva (author)
- Karolinska Institutet
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Karolinska Institutet Karolinska Inst, Soder Hosp, Sect Obstet & Gynecol, Dept Clin Sci & Educ, S-11883 Stockholm, Sweden (creator_code:org_t)
- 2015-12-23
- 2016
- English.
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In: The Journal of Maternal-Fetal & Neonatal Medicine. - : Informa UK Limited. - 1476-7058 .- 1476-4954. ; 29:20, s. 3286-3291
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.3...
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http://kipublication...
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Abstract
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- Objective: To evaluate the frequency of uterine rupture following induction of labor in women with a previous cesarean section. Misoprostol was compared to other methods of induction.Methods: A retrospective cohort study of 208 women attempting induction of labor after one previous cesarean section. Delivery data were collected retrospectively and compared. Group 1(2009-2010) was compared with Group 2 (2012-2013). In Group 1, the main method of induction was vaginal PGE(2) (prostaglandin-E-2), amniotomy, oxytocin or a balloon catheter. In Group 2, the dominant method of induction was an oral solution of misoprostol. Main outcome measures: frequency of uterine rupture in the two groups.Results: Nine cases (4.3%) of uterine rupture occurred. There was no significant difference in the frequency of uterine rupture following the change of method of induction from PGE(2), amniotomy, oxytocin or mechanical dilatation with a balloon catheter to orally administered misoprostol (4.1 versus 4.6%, p=0.9). All ruptures occurred in women with no prior vaginal delivery.Conclusion: The shift to oral misoprostol as the primary method of induction in women with a previous cesarean section did not increase the frequency of uterine rupture in the cohort studied.
Keyword
- Induction of labor
- misoprostol
- PGE2
- TOLAC
- uterine scar
Publication and Content Type
- ref (subject category)
- art (subject category)
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