Induction of labour with misoprostol.

Abstract:

:Misoprostol, an orally active prostaglandin E1 analogue, has been used widely by the vaginal and oral routes for labour induction at or near term. Several recent trials have confirmed that it is highly effective. Overall caesarean section rates appear to be reduced, despite a relative increase in caesarean sections for fetal heart rate abnormalities. Concern remains regarding increased rates of uterine hyperstimulation and meconium-stained amniotic fluid, although data on perinatal outcomes have been reassuring. Recent reports reviewed here have raised the possibility that postpartum haemorrhage may be increased after the induction of labour with misoprostol, and isolated reports of uterine rupture with or without previous caesarean section, continue to appear. Using small dosages appears to reduce adverse outcomes. Very large trials are needed to evaluate rare adverse outcomes.

authors

Hofmeyr GJ

doi

10.1097/00001703-200112000-00005

keywords:

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

577-81

issue

6

eissn

1040-872X

issn

1473-656X

journal_volume

13

pub_type

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