Patients of at least 34 weeks’ gestation with a medical indication for induction of labor and with a modified bishop score of 5 or less were randomized to receive either prostaglandin gel or prostaglandin. The two major techniques for cervical ripening are (1) mechanical interventions, such as insertion of balloon catheters or, less commonly, hygroscopic cervical dilators, and (2) application of pharmacologic agents, such as prostaglandins. To study the effectiveness and morbidity of adding hygroscopic cervical dilators to prostaglandin gel for cervical ripening and labor induction.
Cervical ripening balloon
2) the balloon < 40 ml group, in which only a < 40 ml balloon catheter was used;
Procedure with necessary cervical ripening and/or dilation.
Instructions for its use and. Preinduction cervical ripening with hygroscopic dilators does not shorten the length of labor or lower the cesarean section rate in patients undergoing induction of labor. If labour did not ensue at the end of 12 hours of ripening, the cervical score was assessed, amniotomy was performed and oxytocin commenced. The purpose of this study was to review systematically randomized controlled trials that were associated with cervical ripening.
3) the balloon ≥ 40 ml group, in which only a ≥ 40 ml balloon catheter was.
Patients of at least 34 weeks' gestation with a medical indication for induction of labor and with a modified bishop score of 5 or less were randomized to receive either prostaglandin gel or prostaglandin gel with. Trusted by expectant mothers and doctors around the world 7. It is a rigid gel rod that increases in volume by absorbing fluids from the cervical canal, so it gradually dilates the cervix. We assessed the cost and clinical outcomes of adopting an outpatient strategy with a synthetic hygroscopic cervical dilator, which is indicated for use in preinduction cervical ripening.
Some evidence shows that the use of nonpharmacologic approaches such as osmotic dilators and cervical ripening balloons reduce time to delivery.
To study the effectiveness and morbidity of adding hygroscopic cervical dilators to prostaglandin gel for cervical ripening and labor induction. With regard to cervical ripening for labor induction in nulliparous women at term, the vaginal delivery rate on using a dilator and on using a balloon seems to be equivalent. Together they form a unique fingerprint. Eligible women selected according to the above criteria were divided into 4 groups according to the mechanical method used for cervical ripening:
To evaluate the efficacy and safety of hygroscopic mechanical dilators (dilapan™) for ripening the pregnant cervix prior to induction of labour at or near term and to compare it with an intracervical pge 2 gel (prepidil™).
Allows freedom of movement 3,6. We identified randomized controlled trials that compared the use of foley catheter, with or without extraamniotic saline solution infusion, laminaria, or hygroscopic dilators for cervical ripening or induction with pharmacologic agents or placebo. Asthe dilators absorbfluid, axial expansion causes mechanical dilation of the To study the effectiveness and morbidity of adding hygroscopic cervical dilators to prostaglandin gel for cervical ripening and labor induction.
Patients of at least 34 weeks' gestation with a.
In women in group 2 (dilapan) upto a maximum of 4 hygroscopic dilators were placed in the endocervical canal. Patients of at least 34 weeks ’ gestation with a medical indication for induction of labor and with a modified bishop score of 5 or less were randomized to receive either prostaglandin gel or prostaglandin gel with. To study the effectiveness and morbidity of adding hygroscopic cervical dilators to prostaglandin gel for cervical ripening and labor induction. A hypothetical cohort of women to undergo iol at.
Concerning maternal complications and neonatal outcomes, cervical ripening with hygroscopic dilators in labor induction might be safer.
1) the dilator group, in which only a hygroscopic dilator was used; Comfortable enough to sleep through 6.
