Items in AFP with MESH term: Oxytocics
ABSTRACT: Induction of labor is common in obstetric practice. According to the most current studies, the rate varies from 9.5 to 33.7 percent of all pregnancies annually. In the absence of a ripe or favorable cervix, a successful vaginal birth is less likely. Therefore, cervical ripening or preparedness for induction should be assessed before a regimen is selected. Assessment is accomplished by calculating a Bishop score. When the Bishop score is less than 6, it is recommended that a cervical ripening agent be used before labor induction. Nonpharmacologic approaches to cervical ripening and labor induction have included herbal compounds, castor oil, hot baths, enemas, sexual intercourse, breast stimulation, acupuncture, acupressure, transcutaneous nerve stimulation, and mechanical and surgical modalities. Of these nonpharmacologic methods, only the mechanical and surgical methods have proven efficacy for cervical ripening or induction of labor. Pharmacologic agents available for cervical ripening and labor induction include prostaglandins, misoprostol, mifepristone, and relaxin. When the Bishop score is favorable, the preferred pharmacologic agent is oxytocin.
Should Active Management of the Third Stage of Labor Be Routine? - Cochrane for Clinicians
Labor Induction: A Decade of Change - Editorials
Vaginal Misoprostol for Cervical Ripening in Term Pregnancy - FPIN's Clinical Inquiries
Planned Early Birth vs. Expectant Management for PROM - Cochrane for Clinicians
Expectant Management vs. Surgical Treatment for Miscarriage - Cochrane for Clinicians
ACOG Develops Guidelines for Induction of Labor - Practice Guidelines