Format

Send to

Choose Destination

[Management of pregnancies beyond forty-one week's gestation with an unfavorable cervix].

[Article in French]

Author information

1
Service de Gynécologie-Obstétrique, CHU Farhat Hached, Sousse, Tunisie.

Abstract

OBJECTIVE:

Our purpose was to determine the optimal management of pregnancies beyond 41 week's gestation with a cervix unfavorable for induction.

MATERIAL AND METHOD:

All uncomplicated pregnancies that reached 41 weeks'gestation with a Bishop score of< or =4, were randomly assigned to one of two groups

RESULTS:

The duration of labor was shorter in the group "prépidil" compared with the control group (P=0.002). Identification of an unfavorable cervix at 41 weeks was unlikely to change by 42 weeks and cervical ripening was required in 40% cases. There was no significant difference in caesarean section rates. Rates of admission into the neonatal unit and fetal outcomes were similar in the two groups.

CONCLUSION:

Cervical ripening with prostaglandin gel at 41 week's gestation for uncomplicated singleton pregnancies is safe and should be advocated.

PMID:
16142136
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Masson (France)
Loading ...
Support Center