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Induction of Labor with Oral Misoprostol in Nulliparous Mothers of Twins

dc.contributor.authorSimões, T
dc.contributor.authorCondeço, P
dc.contributor.authorDias, E
dc.contributor.authorVentura, P
dc.contributor.authorMatos, C
dc.contributor.authorBlickstein, I
dc.date.accessioned2017-01-11T15:48:59Z
dc.date.available2017-01-11T15:48:59Z
dc.date.issued2006
dc.description.abstractThe efficacy and safety of oral misoprostol for labor induction of twins is unknown. We conducted a retrospective case-control study to evaluate the use of oral misoprostol in near term (> or =35 weeks) twin pregnancies in nulliparas. Eligible cases were given 100 mcg oral misoprostol, which was repeated after 6 h if labor did not start. Either a third dose or diluted oxytocin infusion were given in intractable cases. Diluted oxytocin infusion was used for augmentation. Controls were nulliparas delivered at > or =35 weeks by elective cesarean section. The two groups were comparable in most aspects, except for fetal malpresentation, which was the major reason for avoiding induction. Of the 69 patients in whom labor was induced, 53 (76.8%) had a vaginal birth, 3 (4.3%) had a combined twin delivery, and 13 (18.8%) had a cesarean during labor. The mean length of stay of the neonates was significantly shorter among study cases, without significant difference in the frequency of delayed discharges as an overall proxy for neonatal complications. Labor induction with oral misoprostol could be offered to patients in whom near term vaginal twin delivery is unequivocally permitted and wish to deliver by the vaginal route.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Perinat Med. 2006;34(2):111-4.pt_PT
dc.identifier.doi10.1515/JPM.2006.020pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2615
dc.language.isoengpt_PT
dc.publisherDe Gruyterpt_PT
dc.subjectAdministration, Oralpt_PT
dc.subjectCase-Control Studiespt_PT
dc.subjectCesarean Sectionpt_PT
dc.subjectDelivery, Obstetricpt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectLabor, Inducedpt_PT
dc.subjectMisoprostolpt_PT
dc.subjectOxytocicspt_PT
dc.subjectParitypt_PT
dc.subjectPregnancypt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectTwinspt_PT
dc.subjectMAC MED MAFpt_PT
dc.titleInduction of Labor with Oral Misoprostol in Nulliparous Mothers of Twinspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage114pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage111pt_PT
oaire.citation.titleJournal of Perinatal Medicinept_PT
oaire.citation.volume34pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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