dc.creatorMoraes, OB
dc.creatorAlbuquerque, RM
dc.creatorCecatti, JG
dc.date2010
dc.dateAUG
dc.date2014-07-30T13:42:41Z
dc.date2015-11-26T18:06:27Z
dc.date2014-07-30T13:42:41Z
dc.date2015-11-26T18:06:27Z
dc.date.accessioned2018-03-29T00:48:39Z
dc.date.available2018-03-29T00:48:39Z
dc.identifierActa Obstetricia Et Gynecologica Scandinavica. Taylor & Francis As, v. 89, n. 8, n. 1045, n. 1052, 2010.
dc.identifier0001-6349
dc.identifierWOS:000282961800011
dc.identifier10.3109/00016349.2010.499447
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/53663
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/53663
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1293362
dc.descriptionCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.descriptionObjective. To compare effectiveness and safety of 25 mg vaginal misoprostol versus Foley catheter and oxytocin for cervical ripening and labor induction in pregnant women with unripe cervices. Design. Randomized controlled trial. Setting. A public maternity in Recife, Brazil. Sample. A total of 240 pregnant women. Methods. Women with a term or post-term, live, singleton fetus in cephalic presentation, intact membranes, Bishop score <6, not in labor, medically indicated for labor induction. They were randomly divided in Group 1, where 119 women received 25 mg of intravaginal misoprostol every 6 hours for a maximum of four doses; and Group 2, where 121 women had a 14-F Foley catheter inserted into their cervical canal. Once past the internal os, the balloon was inflated. Intravenous oxytocin was initiated after the balloon was spontaneously extruded from the cervix or after 24 hours. Results. There were no significant differences between the groups regarding baseline characteristics. Misoprostol was more effective in inducing labor than Foley catheter and oxytocin. Mean induction-to-vaginal delivery time with misoprostol was shorter (17.3 vs. 20.2 hours, p = 0.016). There were more vaginal deliveries in the misoprostol group at 12 (p < 0.001) and 18 (p = 0.007) hours, but the difference was no longer statistically significant at 24 and 48 hours. There were no significant differences in uterine contraction abnormalities, puerperal infection or neonatal outcomes. Conclusions. Vaginal misoprostol is more effective than and as safe as Foley catheter and oxytocin for induction of labor in term and postterm pregnancy.
dc.description89
dc.description8
dc.description1045
dc.description1052
dc.descriptionCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.descriptionCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.languageen
dc.publisherTaylor & Francis As
dc.publisherOslo
dc.publisherNoruega
dc.relationActa Obstetricia Et Gynecologica Scandinavica
dc.relationActa Obstet. Gynecol. Scand.
dc.rightsfechado
dc.rightshttp://journalauthors.tandf.co.uk/permissions/reusingOwnWork.asp
dc.sourceWeb of Science
dc.subjectMisoprostol
dc.subjectFoley catheter
dc.subjectoxytocin
dc.subjectcervical ripening
dc.subjectlabor induction
dc.subjectIntravaginal Misoprostol
dc.subjectOral Misoprostol
dc.subjectDinoprostone
dc.subjectCombination
dc.subjectBalloon
dc.subjectTerm
dc.titleA randomized controlled trial comparing vaginal misoprostol versus Foley catheter plus oxytocin for labor induction
dc.typeArtículos de revistas


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