Cervical ripening with combinations of vaginal prostaglandin F2-alpha estradiol, and relaxin.

Abstract:

:The first of a 2-part trial consisted of a double-blind randomized pilot study in which 4 groups of 10 patients near term received 1 of the following hormonal combinations in a vaginal gel 15 hours before surgical induction of labor: 1) prostaglandin F2 alpha (PGF2 alpha) and relaxin; 2) relaxin and estradiol; 3) estradiol and PGF2 alpha; and 4) relaxin, estradiol, and PGF2 alpha. In each group the mean cervical score improved after treatment; the relaxin/PGF2 alpha combination was associated with the greatest improvement in cervical score (4.8). The highest incidence of subsequent labor was also seen in the relaxin/PGF2 alpha group (40%). However, with the exception of the latter group, the clinical effects of these hormonal combinations were neither greater nor smaller than the previously published effects of these hormones used individually in similar circumstances. The second part of the study further explored the possibility of an additive effect of relaxin and PGF2 alpha in combination as suggested by the pilot study, and an additional 40 patients were given this combination. Analysis of these larger numbers showed no additive effect when these hormones were used in combination compared with when they were used individually. Thus, in the circumstances described, there is no clinical advantage to the concurrent administration of any combination of relaxin, PGF2 alpha and estradiol with regard to cervical ripening and/or the initiation of parturition.

journal_name

Obstet Gynecol

authors

MacLennan AH,Green RC,Bryant-Greenwood GD,Greenwood FC,Seamark RF

subject

Has Abstract

pub_date

1981-11-01 00:00:00

pages

601-4

issue

5

eissn

0029-7844

issn

1873-233X

journal_volume

58

pub_type

临床试验,杂志文章,随机对照试验
  • Hormone replacement therapy after transcervical resection of the endometrium.

    abstract:OBJECTIVE:To determine if women who have undergone transcervical resection of the endometrium can be treated safely with estrogens alone. METHODS:Sixty-two postmenopausal women who had undergone endometrial resection were recruited into a double-blind, randomized study. Twenty-one had menopausal symptoms at the primar...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0029-7844(96)00308-0

    authors: Istre O,Holm-Nielsen P,Bourne T,Forman A

    更新日期:1996-11-01 00:00:00

  • The management of severe toxemia in patients at less than 36 weeks' gestation.

    abstract::Fifty-five patients at less than 36 weeks' gestation with severe toxemia were treated conservatively. The pregnancies were continued for a mean duration of 19.2 days and the mean gestation at delivery was 35.2 weeks. Fifty-three percent of the deliveries were by cesarean section. Of the neonates, 56.5% showed severe i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Martin TR,Tupper WR

    更新日期:1979-11-01 00:00:00

  • Maternal uterine artery Doppler flow velocimetry and the risk of stillbirth.

    abstract:OBJECTIVE:We sought to relate the risk of antepartum stillbirth to uterine artery Doppler flow velocimetry at 22-24 weeks. METHODS:Data were available from 30,519 unselected women from seven units in the UK who had uterine artery Doppler performed between 22 and 24 weeks of gestation. The risk of stillbirth (n=109) wa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000248536.94919.e3

    authors: Smith GC,Yu CK,Papageorghiou AT,Cacho AM,Nicolaides KH,Fetal Medicine Foundation Second Trimester Screening Group.

    更新日期:2007-01-01 00:00:00

  • Committee opinion no 611: method for estimating due date.

    abstract::: Accurate dating of pregnancy is important to improve outcomes and is a research and public health imperative. As soon as data from the last menstrual period, the first accurate ultrasound examination, or both are obtained, the gestational age and the estimated due date should be determined, discussed with the patien...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000454932.15177.be

    authors:

    更新日期:2014-10-01 00:00:00

  • The appropriateness of recommendations for hysterectomy.

    abstract:OBJECTIVE:To evaluate the appropriateness of recommendations for hysterectomies done for nonemergency and non-oncologic indications. METHODS:We assessed the appropriateness of recommendations for hysterectomy for 497 women who had the operation between August 1993 and July 1995 in one of nine capitated medical groups ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00519-0

    authors: Broder MS,Kanouse DE,Mittman BS,Bernstein SJ

    更新日期:2000-02-01 00:00:00

  • Serum relaxin in patients with hydatidiform mole.

    abstract::Human chorionic gonadotropin (hCG) is considered to be one of the factors that regulates relaxin secretion in humans. However, the secretory pattern of relaxin has not been evaluated in pregnancy complicated by hydatidiform mole, where circulating hCG levels are higher than in normal pregnancy. In the present study, r...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Seki K,Uesato T,Tabei T,Kato K

    更新日期:1986-03-01 00:00:00

  • Etiology of recurrent pregnancy losses and outcome of subsequent pregnancies.

    abstract::Prospective evaluation of 155 couples with two or more consecutive pregnancy losses disclosed uterine morphologic abnormalities in 27%, chromosomal abnormalities in 21 individuals (7.7%, or 15.4% of the couples), and at least one abnormal diagnostic test suggestive of a cause for recurrent pregnancy losses in 106 (68%...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Harger JH,Archer DF,Marchese SG,Muracca-Clemens M,Garver KL

    更新日期:1983-11-01 00:00:00

  • Pharmacokinetic and hemodynamic effects of caffeine in the pregnant sheep.

    abstract::Caffeine citrate in doses of 6.96 mg/kg (equivalent to 3.50 mg/kg of caffeine) of combined maternal and fetal weight and 69.6 mg/kg (35.0 mg/kg of caffeine) was administered in 1-dl solutions intravenously over ten minutes to chronically prepared pregnant sheep. The ewes and their fetuses were monitored for cardiovasc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wilson SJ,Ayromlooi J,Errick JK

    更新日期:1983-04-01 00:00:00

  • Urinothorax: a rare complication of total abdominal hysterectomy.

    abstract:BACKGROUND:Urinothorax is defined as the presence of urine in the pleural cavity. This condition is due to the leakage of urine from the peritoneal and retroperitoneal space into the pleural space. We report a case of urinothorax after total abdominal hysterectomy. CASE:A premenopausal woman underwent total abdominal ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31819bda90

    authors: Amro O,Webb-Smith F,Sunderji S

    更新日期:2009-08-01 00:00:00

  • Interbirth interval with frequency of cesarean delivery.

    abstract:OBJECTIVE:To estimate whether and to what extent interbirth interval is associated with cesarean delivery. METHODS:This is a retrospective cohort study of 2,528 multiparous women who presented to labor and delivery at a single tertiary care obstetric hospital during an 18-month period. Women were grouped by their inte...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31821c4368

    authors: Miller ES,Grobman WA

    更新日期:2011-07-01 00:00:00

  • Long-term clinical and urodynamic evaluation of the polytetrafluoroethylene suburethral sling for treatment of genuine stress incontinence.

    abstract:OBJECTIVE:To assess long-term clinical and urodynamic outcomes of suburethral sling procedures using polytetrafluoroethylene grafts. METHODS:Between January 1986 and May 1991, 108 women underwent suburethral sling placement to treat genuine stress incontinence. At least 1 year after surgery, 62 women participated in a...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0029-7844(95)00098-C

    authors: Weinberger MW,Ostergard DR

    更新日期:1995-07-01 00:00:00

  • Comparison of Women in Department Leadership in Obstetrics and Gynecology With Those in Other Specialties.

    abstract:OBJECTIVE:To compare the representation of women in obstetrics and gynecology department-based leadership to other clinical specialties while accounting for proportions of women in historical residency cohorts. METHODS:This was a cross-sectional observational study. The gender of department-based leaders (chair, vice ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001290

    authors: Hofler LG,Hacker MR,Dodge LE,Schutzberg R,Ricciotti HA

    更新日期:2016-03-01 00:00:00

  • Control of intractable atonic postpartum hemorrhage by 15-methyl prostaglandin F2 alpha.

    abstract::Severe intractable atonic postpartum hemorrhage can be treated by either uterine packing or surgical techniques. However, certain prostaglandins possess properties of potential value for the control of postpartum uterine atony. Two hundred fifty micrograms 15-methyl prostaglandin F2 alpha (15-methyl PGF2 alpha) was gi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Toppozada M,El-Bossaty M,El-Rahman HA,El-Din AH

    更新日期:1981-09-01 00:00:00

  • Fetal macrosomia: prediction, risks, proposed management.

    abstract::The outcome of delivery of infants weighing more than 4000 g born during two time periods 15 years apart was studied retrospectively. The increased use of cesarean section and other obstetric advances did not reduce the risk of fetal asphyxia and trauma associated with large fetal size. Maternal factors were identifie...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Boyd ME,Usher RH,McLean FH

    更新日期:1983-06-01 00:00:00

  • Effect of long-term triphasic oral contraceptive use on glucose tolerance and insulin secretion.

    abstract::This study was designed to compare the effects of two low-dose triphasic oral contraceptives (OCs) on glucose tolerance and insulin secretion. Fifty-seven women were randomized to receive OCs containing ethinyl estradiol and either levonorgestrel or norethindrone. Ten subjects using nonhormonal contraception served as...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Gillespy M,Notelovitz M,Ellingson AB,Khan FY

    更新日期:1991-07-01 00:00:00

  • Cardiomyopathy and other myocardial disorders among hospitalizations for pregnancy in the United States: 2004-2006.

    abstract:OBJECTIVES:To estimate the rate of pregnancy hospitalizations for women with two groups of myocardial disorders, cardiomyopathy and other myocardial disorders, and report the rate of severe obstetric complications among these hospitalizations in delivery and postpartum periods. METHODS:We performed a cross-sectional s...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181c4ee8c

    authors: Kuklina EV,Callaghan WM

    更新日期:2010-01-01 00:00:00

  • Increased plasma carnitine concentrations in preeclampsia.

    abstract:OBJECTIVE:Preeclampsia is associated with abnormal lipid metabolism, including fatty acid metabolism. Carnitine plays an indispensable role in the oxidation of fatty acids. The aim of the study was to evaluate the possible role of abnormal fatty acid oxidation in preeclampsia by comparing plasma carnitine levels betwee...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000125699.60416.03

    authors: Thiele IG,Niezen-Koning KE,van Gennip AH,Aarnoudse JG

    更新日期:2004-05-01 00:00:00

  • Clinical features of the reactive positive contraction stress test.

    abstract::During a five-year period, 2815 patients undergoing 5685 fetal heart rate (FHR) tests produced 147 positive contraction stress tests. Baseline FHR patterns were considered reactive if three or more accelerations occurred during 30 minutes of the contraction stress test and nonreactive if fewer or no accelerations were...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Devoe LD

    更新日期:1984-04-01 00:00:00

  • Adenocarcinoma of the vagina in a patient with gonadal dysgenesis.

    abstract::Adenocarcinoma of the vagina is an uncommon tumor. Many theories have been postulated for its etiology and tissue origin. Its occurrence in young women exposed in utero to diethylstilbestrol has pointed to estrogen influence as a possible etiologic factor. A case of adenocarcinoma of the vagina in a patient with gonad...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Shingleton HM,Younger JB,Beasley WE,Levy D,Gore H,Lawrence WD

    更新日期:1979-03-01 00:00:00

  • Comparison of Maxon suture with Vicryl, chromic catgut, and PDS sutures in fascial closure in rats.

    abstract::Two hundred ten rats were randomized into one of five study groups to compare standard absorbable sutures with a new synthetic absorbable suture. We evaluated Maxon (polyglyconate), Vicryl (polyglactin), chromic catgut (catgut), and PDS (polydioxanone) with respect to tissue inflammatory reaction, knot security, sutur...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sanz LE,Patterson JA,Kamath R,Willett G,Ahmed SW,Butterfield AB

    更新日期:1988-03-01 00:00:00

  • Endocervical curettage when colposcopic examination is satisfactory and normal.

    abstract:OBJECTIVE:To estimate the incidence of endocervical dysplasia in women with cervical cytology of atypical squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesion (SIL) who have a satisfactory and normal colposcopic examination. METHODS:An electronic colposcopy database was revi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)00821-8

    authors: Williams DL,Dietrich C,McBroom J

    更新日期:2000-06-01 00:00:00

  • Committee Opinion No. 644: The Apgar Score.

    abstract::The Apgar score provides an accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed. The Apgar score alone cannot be considered to be evidence of or a consequence of asphyxia, does not predict individual neonatal mortality or neu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001108

    authors:

    更新日期:2015-10-01 00:00:00

  • Prenatal imaging: ultrasonography and magnetic resonance imaging.

    abstract::The Eunice Kennedy Shriver National Institute of Child Health and Human Development held a workshop on September 18-19, 2006, to summarize the available evidence on the role and performance of current fetal imaging technology and to establish a research agenda. Ultrasonography is the imaging modality of choice for pre...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000318871.95090.d9

    authors: Reddy UM,Filly RA,Copel JA,Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Department of Health and Human Services, NIH.

    更新日期:2008-07-01 00:00:00

  • Retention of intrauterine fetal bone increases menstrual prostaglandins.

    abstract::Intrauterine retention of fetal bone is a rare complication of abortion that can cause secondary infertility by an unknown mechanism. We report such a case in which menstrual fluid prostanoids were measured to elucidate the possible pathophysiology. The pattern of prostanoid increases was similar to that seen in intra...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lewis V,Khan-Dawood F,King M,Beckmann C,Dawood MY

    更新日期:1990-03-01 00:00:00

  • Double uterus with a pregnancy in each half.

    abstract::A case of twin pregnancy with a fetus in each horn of a uterus didelphys is reported. During labor that resulted in the term birth of 1 fetus, contractions occurred temporarily in the other horn and subsided 2 hours after delivery. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Nhân VQ,Huisjes HJ

    更新日期:1983-01-01 00:00:00

  • Bioactivity of serum hCG in preeclampsia.

    abstract:OBJECTIVE:To compare hCG levels, obtained by biologic and immunologic means, in women with normal pregnancies and women with preeclampsia. METHODS:Peripheral blood samples from women in the third trimester with preeclampsia (n = 30) or normal pregnancies (n = 30) were assayed for immunoactive and bioactive hCG (mouse ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01463-6

    authors: Casart YC,Camejo MI,Proverbio F,Febres F

    更新日期:2001-09-01 00:00:00

  • Threatened abortion studied by estradiol-17 beta in serum and ultrasound.

    abstract::One hundred women were admitted to the hospital between 7 and 18 weeks' gestation because of vaginal bleeding and threatened abortion. Serum concentration of estradiol-17 beta was determined by radioimmunoassay. Ultrasound examination using a gray-scale scanner was performed as well. The values for prediction of abort...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198003000-00011

    authors: Hertz JB,Mantoni M,Svenstrup B

    更新日期:1980-03-01 00:00:00

  • Recurrent streptococcal cellulitis complicating radical hysterectomy and radiation therapy.

    abstract::Reported is a rare complication of radical hysterectomy and radiation therapy, recurrent streptococcal cellulitis. Two patients had 14 episodes over a nine-year period, characterized by high fever and systemic toxicity. The streptococcal cellulitis was atypical in its presentation and its causative organism. The rash ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chmel H,Hamdy M

    更新日期:1984-06-01 00:00:00

  • Indomethacin therapy in the treatment of symptomatic polyhydramnios.

    abstract::Eight gravidas with symptomatic polyhydramnios were managed with maternal indomethacin therapy. The mean gestational age at presentation was 28.6 +/- 3.5 weeks. Only patients requiring serial amniotic fluid decompressions for rapid amniotic fluid reaccumulation were enrolled in the study. An initial amniotic fluid dec...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kirshon B,Mari G,Moise KJ Jr

    更新日期:1990-02-01 00:00:00

  • Relationship between change in amniotic fluid index and volume of fluid removed at amnioreduction.

    abstract:OBJECTIVE:To determine the relationship between the change in amniotic fluid index (AFI) and the volume of fluid removed at amnioreduction. METHODS:In a prospective study of 20 twin and 19 singleton pregnancies undergoing amnioreduction for severe polyhydramnios, AFI was measured immediately before and after the proce...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00356-6

    authors: Denbow ML,Sepulveda W,Ridout D,Fisk NM

    更新日期:1997-10-01 00:00:00