This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins—Obstetrics with the assistance of Mildred Ramirez, MD, and Susan Ramin, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practi...

BACKGROUND The aim of this study was to compare the possible clinical parameters for prediction of successful labor induction in Chinese nulliparous women. MATERIAL/METHODS A retrospective, observational trial of labor induction was performed, using a single dose of 10 mg controlled-release dinoprostone for preinduction cervical ripening in 127 nulliparous women (gestational age 38-42 weeks, ...

Background: An increasing success in induction of labor and subsequent termination of pregnancy in presence of unfavorable cervix requires cervical ripening in order to reduce complications and to diminish the rate of cesarean sections as well as the duration of labor.  However, there is no consensus on the efficiency of conventional methods for cervical ripening. Objective: To determine and co...

a comparative study of vaginal misoprostol plus oxytocin and oxytocin alone in the preparation and induction of labor in the third trimester of pregnancy     bahadori f [1] , behroozilak t [2] *, bromand f [3] , nanbakhsh f [4]     received: august 27, 2011 accepted: october 7, 2011     abstract   background & aims : induction of labor with an unfavorable cervix is one of the common reasons of ...

background: third stage of labor has been defined as the most dangerous stage. due to the importance of the third stage, this study was performed in order to determine its length and related factors. materials and methods: this research is a cross sectional study which was carried out on 1000 deliveries in shabihkhani hospital (kashan-iran). inclusion criteria consist of gestational age of high...

objective: to compare efficacy, safety and tolerance of combination of mifepristone and misoprostol versus misoprostol-only in induction of late intrauterine fetal death (iufd). materials and methods: this prospective study included a consecutive series of 52 women gravid up to fourth with iufd after 28 weeks of gestation between january 2008 and june 2011. women were divided into two groups. f...

Background: Labor induction is one of the most public ways carried out global for delivering mothers. The aim of labor induction is to encourage uterine contractions before the spontaneous onset of labor, resultant in vaginal delivery misoprostol is used off-label for a variety of indications in the practice of obstetrics and gynecology, including medication abortion, medical management of misc...

Nurse-midwives are sometimes required to intervene in the normal process of labor. Numerous clinical trials have investigated the use of prostaglandins for induction of labor. Research indicates the use of prostaglandins to be a safe and effective method of induction of labor with favorable results when compared with the more traditional use of oxytocin. Patient acceptance appears to be favorab...