Induction of labour by simultaneous intravenous administration of prostaglandin E 2 and oxytocin.

نویسندگان

  • W C Naismith
  • W Barr
  • J MacVicar
چکیده

In a group of 20 matched primigravid patients labour was induced by forewater amniotomy followed by intravenous oxytocin (Syntocinon) administered in escalating doses. Ten of these patients, in a double-blind trial, also received prostaglandin E(2) infused simultaneously with the oxytocin. In the combined prostaglandin-oxytocin group there was a noticeable reduction in the dosage of oxytocin required to produce effective uterine action, and the duration of labour was also reduced. No side effects were observed.

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منابع مشابه

Assessment of a new prostaglandin E2 gel in labour induction.

Prostaglandin E2 in a new gel form (Prepidil; Upjohn) was found to be as efficient in inducing labour as artificial rupture of membranes combined with intravenous oxytocin administration. There were no side-effects in the 25 patients in the study group. Prepidil gel has the advantage of simplicity and patient acceptance.

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Routine induction of labour by amniotomy and simultaneous Syntocinon (synthetic oxytocin) infusion.

Of 2,272 deliveries between 1 October, 1967 and 31 December, 1968 290 were induced by simultaneous intravenous Syntocinon (synthetic oxytocin) at amniotomy. The hazards of induction of labour are greatly reduced when this method is used routinely. Only 4 of the 13 caesarean sections were thought to be due to failure of method. Within 12 hours 221 patients were delivered, and this short inductio...

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Prostaglandin E2 tablets compared with intravenous oxytocin in induction of labour.

Stimulation of uterine activity after amniotomy has been carried out with prostaglandin E2 (PGE2) tablets in two dosage regimens and with intravenous oxytocin. Oxytocin stimulation was the most successful. The difference in success rate was most marked in nulliparous patients and those with low Bishop score.

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Oxytocin release by infused prostaglandin.

Plasma oxytocin levels were measured serially in 22 women receiving prostaglandin E(2) or F(2alpha) intravenously for the induction of labour. Oxytocin was detected in the plasma of 19 of the 22 women; positive levels were found in 60 (43%) of 139 plasma samples, an incidence similar to that in the late first stage of spontaneous labour. Oxytocin was found in the maternal plasma even when the f...

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عنوان ژورنال:
  • British medical journal

دوره 4 5838  شماره 

صفحات  -

تاریخ انتشار 1972