Methods Of Induction -1
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26.6.06
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RIPENING THE CERVIX
The collagen fibres of which the cervix is composed can be much softened in consistency by the local application of prostaglandin. A vaginal tablet or gel containing Dinoprostone (Prostin E2) may be inserted into the posterior fornix to soften and efface the cervix.This will permit amniotomy and may even result in the initiation of labour. Increasingly the cheaper alternative of Misoprostol given intravaginally is being used for ripening the cervix and also for induction of labour.
Physical methods such as the introduction of a Foley catheter through the cervical os appear to stimulate local production of prostaglandins and may also ripen the cervix.
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Category: Obstetrics Notes
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