E-Jurnal Medika Udayana
vol 3 no 1 (2014):e-jurnal medika udayana

MISOPROSTOL FOR INDUCTION OF LABOR IN TERM PREGNANCY

Gede Angga Permana AW (Unknown)
Putera Kemara (Unknown)
I Wayan Megadhana (Unknown)



Article Info

Publish Date
03 Jan 2014

Abstract

Induction of labor refers to the process whereby uterine contractions are initiated bymedical or surgical means before the onset of spontaneous labor. Several studies haveshown that continuous intravenous infusion of oxytocin is less efficient, particularlywhen there are unfavorable cervical conditions, leading frequently to a cesarean section,because of induction failure. Misoprostol is a cervical modifying agent and laborinductor. The typical effect of a single dose of oral misoprostol is an increase in uterinetonus. Sustained plasma level of misoprostol is required for the development of regularcontractions appear. The bioavailability of vaginal misoprostol also greater compared tooral, sublingual and rectal administration. Using misoprostol for cervical ripening andlabor induction represented a 47% reduction in the risk of having a cesarean section(risk ratio = 0.53). In cases of unfavorable cervix condition, the use of misoprostolcould produce several beneficial effects compared to other inductor such as oxytocin

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Journal Info

Abbrev

eum

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

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