cervical ripening

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cervical ripening

The stromal response of the cervix in phase 1 of parturition, which precedes the onset of labour, in which the cervix becomes softer and more dilatable.

cervical ripening

Obstetrics The stromal response of the cervix in phase 1 of parturition, which precedes the onset of labor, in which the cervix becomes softer and more dilatable. See Cervical effacement.

cervical ripening

The biochemical changes in the cervix that take place gradually over the last few weeks of gestation in preparation for childbirth. The cervix softens, and its potential for stretching increases. Normally this occurs naturally, but in postterm pregnancies it may be necessary to use mechanical dilators or drugs. Placement of Laminaria digitata or prostaglandin E analogs (e.g., misoprostol) in the vagina or cervical canal promotes cervical ripening and onset of labor but does not reduce the rate of cesarean deliveries.

Patient care

Fetal status is assessed by monitoring the heart rate for 30 min before gel insertion and for approx. 1 hr after the procedure. The woman is assessed for uterine contractions and signs of hyperstimulation, nausea, or vomiting. If hyperstimulation occurs, the gel is removed, and the primary health care provider is notified.

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References in periodicals archive ?

This study is the first double-blinded, prospective randomized controlled clinical trial evaluating the efficacy and safety of intravaginal misoprostol in cervical ripening and labor induction in term pregnancy in China.

Intravaginal Misoprostol for Cervical Ripening and Labor Induction in Nulliparous Women: A Double-blinded, Prospective Randomized Controlled Study

Sublingual Misoprostol for cervical ripening before diagnostic hysteroscopy: a randomized and prospective study about 108 cases].

Cervical priming by misoprostol before diagnostic dilatation and curettage: a randomized clinical trial

A randomized comparison between misoprostol and dinoprostone for cervical ripening and labor induction in patient with unfavorable cervices.

Efficacy of misoprostol over dinoprostone gel and Foley's catheter as a cervical ripening agent

Sublingual misoprostol for preabortion cervical ripening in first-trimester pregnancy termination.

The role and efficacy of misoprostol in pregnancy termination--a review article

The superiority of Foleys catheter balloon for cervical ripening in second trimester of pregnancy is documented in different studies.

Termination of second trimester pregnancy: extra amniotic foley's catheter balloon with traction versus combined use of foley's catheter balloon and extra amniotic instillation of PGF2 alpha

Chronic stimulation of uterine prostaglandin synthesis during cervical ripening before the onset of labor.

A comparison of orally administered misoprostol and membrane sweeping for labour induction in uncomplicated singleton post-term pregnancies

Methods for cervical ripening and induction of labor.

Childbirth in pleasure and ecstasy: a fountain of hormones and chemicals

Misoprostol: An effective agent for cervical ripening and labor induction.

Misoprostol intravaginal administrado ambulatoriamente para induccion selectiva del trabajo de parto en pacientes con embarazo a termino. Estudio de Cohorte

Cervical ripening that promotes preterm labor is distinct from what happens at the onset of normal-term labor, researchers have found.

Cervical ripening and preterm labor

2003) while it has been successfully used by obstetricians and gynecologists for a number of years for the induction of labor for medical termination of pregnancy, cervical ripening and prevention of postpartum hemorrhage (Goldberg et al.

Cytotec induced embryotoxicity in developing mus musculus

The American College of Obstetricians and Gynecologists issued a new practice bulletin for labor induction in August 2009 stating that the "Foley catheter is a reasonable and effective alternative for cervical ripening and inducing labor," but ACOG did not specify inflation sizes.

Increased Foley catheter inflation may aid labor induction

Cytokines also induce hyaluronic acid production by cervical fibroblasts, which may promote cervical ripening.

Role of echogenic amniotic fluid particles and optical density in prediction of respiratory distress syndrome and labor