Delivery at Term

Walker, Kate F.; Thornton, Jim

doi:10.1016/j.clp.2018.01.004

Cited by 10 publications

(6 citation statements)

References 52 publications

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“…Furthermore, it is important to note that none of the studies reported any uterine rupture so it was not possible to compare uterine rupture rate between the two methods, although this catastrophic situation should be always kept into mind [65,66]. In addition, the evidence based for cervical ripening for term induction, as well as caution of the using pharmacological agents or any mechanical methods for induction of labor should be always followed [67][68][69]. It should administer misoprostol cautiously using 25 µg every 4 h as recommended by the WHO and is also the dosage used by most of the included studies.…”

Section: Discussionmentioning

confidence: 99%

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Lee

Huang

Chen

et al. 2020

IJERPH

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Currently, there is no meta-analysis comparing intravaginal misoprostol plus intracervical Foley catheter versus intravaginal misoprostol alone for term pregnancy without identifying risk factors. Therefore, the purpose of this study is to conduct a systematic review and meta-analysis of randomized control trials (RCTs) comparing concurrent intravaginal misoprostol and intracervical Foley catheter versus intravaginal misoprostol alone for cervical ripening. We systematically searched Embase, Pubmed, and Cochrane Collaboration databases for randomized controlled trials (RCTs) comparing intracervical Foley catheter plus intravaginal misoprostol and intravaginal misoprostol alone using the search terms “Foley”, “misoprostol”, “cervical ripening”, and “induction” up to 29 January 2019. Data were extracted and analyzed by two independent reviewers including study characteristics, induction time, cesarean section (C/S), clinical suspicion of chorioamnionitis, uterine tachysystole, meconium stain, and neonatal intensive care unit (NICU) admissions. Data was pooled using random effects modeling and calculated with risk ratio (RR) and 95% confidence interval (CI). Pooled analysis from eight studies, including 1110 women, showed that labor induction using a combination of intracervical Foley catheter and intravaginal misoprostol decreased induction time by 2.71 h (95% CI −4.33 to −1.08, p = 0.001), as well as the risk of uterine tachysystole and meconium staining (RR 0.54, 95% CI 0.30–0.99 and RR 0.48, 95% CI 0.32–0.73, respectively) significantly compared to those using intravaginal misoprostol alone. However, there was no difference in C/S rate (RR 0.93, 95% CI 0.78–1.11) or clinical suspicion of chorioamnionitis rate (RR 1.22, CI 0.58–2.57) between the two groups. Labor induction with a combination of intracervical Foley catheter and intravaginal misoprostol may be a better choice based on advantages in shortening induction time and reducing the risk of uterine tachysystole and meconium staining compared to intravaginal misoprostol alone.

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Section: Discussionmentioning

confidence: 99%

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Lee

Huang

Chen

et al. 2020

IJERPH

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“…11,12 Consequently, many health authorities have introduced clinical guidelines that prescribe "elective" or "non-medically indicated" 13 IOL in low-risk, postterm pregnancies. 20 Whereas there is substantial and ongoing scientific research on the potential medical advantages and limitations of postterm induction, less is known about the perspectives of the pregnant women. 15 However, recent studies comparing IOL and expectant management have not shown a higher risk of adverse outcomes.…”

mentioning

confidence: 99%

“…19 Complications such as cord prolapse and placental abruption are uncommon. 20 Whereas there is substantial and ongoing scientific research on the potential medical advantages and limitations of postterm induction, less is known about the perspectives of the pregnant women. Furthermore, the results of the few existing studies are ambiguous.…”

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confidence: 99%

Women‘s experiences of postterm induction of labor: A systematic review of qualitative studies

Lou

Hvidman

Uldbjerg

et al. 2018

Birth

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Background: Over the last decade, induction of labor (IOL) in postterm pregnancies has increased. Studies have shown the medical advantages of postterm IOL, but less is known about the perspectives of the pregnant women. This review aimed to summarize the current qualitative evidence on women's experience of postterm IOL. Methods: A systematic literature search was performed in three databases. A total of 3193 publications were identified, but only eight studies met the inclusion criteria.Thematic analysis guided the data extraction and synthesis. The Confidence in the Evidence for Reviews of Qualitative research (CERQual) approach was used to assess confidence in the findings. Results: Three major findings were identified. First, for some women, IOL required a shift in expectations because the hope of spontaneous labor had to be given up.Second, the IOL decision was considered a recommendation from health care professionals and was experienced as a nondecision. Finally, the induction process was experienced as a sequential set of steps where the women were expected to fit into the existing hospital organization. The CERQual assessment suggested moderate confidence in all findings. Discussion: The negative experiences identified in this review can be greatly reduced by a communicative and patient-centered approach. To support informed choice and shared decision making, women need high-quality, unbiased information about IOL, alternative options, and potential outcomes, in addition to time for reflection on their personal values and preferences. Women may need a professionally initiated and supported opportunity to re-evaluate their hopes and expectations before IOL. K E Y W O R D Sexperience, induction of labor, postterm pregnancy, qualitative research, systematic review

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“… 22 23 In case of difference between the gestational age (according to the date of the last menstruation) and ultrasound fetometry > 5 days, the gestational age was determined according to ultrasound data. 24 25 Serial examination of the measurements of uterine fundal height and transabdominal ultrasound fetometry (abdominal circumference, head circumference, and femur length) every 4 weeks from 20 weeks of gestation were performed. Fetal growth restriction was determined as a primary < 10 percentile or fetal growth arrest at initial normal rates of uterine fundal height in gravidogram 26 and/or < 5 percentile by the standard curve by ultrasound fetometry, 27 which were necessarily confirmed by < 5 percentile by the standard curve of the body weight, height, and BMI of the newborns regarding gestational age.…”

Section: Methodsmentioning

confidence: 99%

The Role of High Concentrations of Homocysteine for the Development of Fetal Growth Restriction

Gaiday

Balash

Tussupkaliyev

2022

Rev Bras Ginecol Obstet

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Objective To assess homocysteine (Hcy) levels in the three trimesters of pregnancy in women with fetal growth restriction (FGR) and to evaluate the role of Hcy as a possible predictor of FGR. Methods A total of 315 singleton pregnant women were included in the present prospective cohort study and were monitored since the 1st trimester of pregnancy before delivery. Newborns were monitored for the first 7 days of life. Patients who had risk factors for FGR were excluded. Fetal growth restriction was defined according to uterine fundal height (< 10 percentile), ultrasound fetometry (< 5 percentile), and anthropometry of newborns (< 5 percentile). The concentrations of Hcy were detected at between 10 and 14, between 20 and 24, and between 30 and 34 weeks of pregnancy by enzyme-linked immunosorbent assay (ELISA). Receiver operating characteristics (ROC) curve test and diagnostic odds ratio (DOR) were performed to evaluate the results of ELISA. Results The concentration of Hcy in patients with FGR was 19.65 umol/L at between 10 and 14 weeks, compared with 9.28 umol/L in patients with normal fetal growth (p < 0.0001). The optimal cut-off level for Hcy in the 1st trimester of pregnancy was > 13.9 umol/L with AUC 0.788, sensitivity of 75%, specificity of 83.6%, and DOR of 15.2. Conclusion Assessment of serum Hcy concentration may be used as a predictor of FGR, with the highest diagnostic utility in the 1st trimester of pregnancy.

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Delivery at Term

Cited by 10 publications

References 52 publications

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

Women‘s experiences of postterm induction of labor: A systematic review of qualitative studies

The Role of High Concentrations of Homocysteine for the Development of Fetal Growth Restriction

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