Induction of labor Flashcards
Misoprostal is what type of prostaglandin?
PGE1
Dinoprostone is what type of prostaglandin?
PGE2
What are the main benefits to misoprostal for cervical ripening agent?
Decrease CS delivery rate, increased vaginal delivery within 24 hrs, inexpensive
What are the main disadvantages to Misoprostal?
Can cause tachysystole
What are the main disadvantages to Dinoprostal gel (Prepidil)
Vaginal irritation, wait 6-12 hrs if contractions occur before starting pitoci
What are the main advantages to Dinoprostone insert (Cervidil)?
can me removed if tachysystole occurs, oxytcin can be started 30 minutes after removal
What are the main disadvantages to Dinoprostone insert (Cervidil)?
expensive, may be less effective
What is the typical dose and frequency for vaginal Misoprostal?
25 mcg q 3-6 hrs
What is the typical dose and frequency for oral Misoprostal?
50 mcg - 200 mcg q 3-6 hrs
Overall data show that ______ route of misoprostal is less effective than ______ route.
oral, vaginal
In nuliparous women with a mean bishop score of 8 but < 3 cm what does early amniotomy achieve?
shortened length of labor without increase risk of CS delivery
Membrane sweeping is effective by what 2 mechanisms?
Release of Prostaglandins and ferguson autonomic relex causes oxytocin release from posterior pituitary
When is it recommended to start membrane sweeps?
39 wga
Membrane sweep leads to ____ percent decrease in pregnancies continuing to 41 weeks and _____ percent decrease in pregnancies continuing to 42 weeks.
40%, 70%
What is the half life of oxytocin?
3-10 minutes
