TY - JOUR
T1 - Outpatient cervical ripening
AU - Amorosa, Jennifer M.H.
AU - Stone, Joanne L.
N1 - Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/10
Y1 - 2015/10
N2 - Induction of labor is one of the most commonly performed obstetric procedures. Many patients undergoing labor induction require cervical ripening. In an era where cost and patient satisfaction have become paramount, the idea of outpatient cervical ripening is appealing; provided it can be performed in a safe and cost effective manner. The ideal agent would induce adequate cervical ripening without causing significant uterine contractions/labor. Various methods have been studied including administration of misoprostol, PGE2, nitric oxide donors, use of Foley balloon catheters and acupuncture. Each method has its strengths and limitations; however, larger studies of outpatient cervical ripening that are specifically powered for rare adverse maternal and fetal outcomes are needed before definitive recommendations can be made.
AB - Induction of labor is one of the most commonly performed obstetric procedures. Many patients undergoing labor induction require cervical ripening. In an era where cost and patient satisfaction have become paramount, the idea of outpatient cervical ripening is appealing; provided it can be performed in a safe and cost effective manner. The ideal agent would induce adequate cervical ripening without causing significant uterine contractions/labor. Various methods have been studied including administration of misoprostol, PGE2, nitric oxide donors, use of Foley balloon catheters and acupuncture. Each method has its strengths and limitations; however, larger studies of outpatient cervical ripening that are specifically powered for rare adverse maternal and fetal outcomes are needed before definitive recommendations can be made.
UR - http://www.scopus.com/inward/record.url?scp=84945493501&partnerID=8YFLogxK
U2 - 10.1053/j.semperi.2015.07.014
DO - 10.1053/j.semperi.2015.07.014
M3 - Review article
C2 - 26365009
AN - SCOPUS:84945493501
SN - 0146-0005
VL - 39
SP - 488
EP - 494
JO - Seminars in Perinatology
JF - Seminars in Perinatology
IS - 6
ER -