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.

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.
Sublingual Misoprostol for cervical ripening before diagnostic hysteroscopy: a randomized and prospective study about 108 cases].
A randomized comparison between misoprostol and dinoprostone for cervical ripening and labor induction in patient with unfavorable cervices.
Sublingual misoprostol for preabortion cervical ripening in first-trimester pregnancy termination.
The superiority of Foleys catheter balloon for cervical ripening in second trimester of pregnancy is documented in different studies.
Chronic stimulation of uterine prostaglandin synthesis during cervical ripening before the onset of labor.
Methods for cervical ripening and induction of labor.
Cervical ripening that promotes preterm labor is distinct from what happens at the onset of normal-term labor, researchers have found.
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.
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.
Cytokines also induce hyaluronic acid production by cervical fibroblasts, which may promote cervical ripening.