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Database - Alliance francophone pour l'accouchement respecté (AFAR)
Created on : 1/02/2006
Modified on : 2/12/2007

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Author(s) :

Bennett BB.

Bibliographical entry (without author) :

Uterine rupture during induction of labor at term with intravaginal misoprostol. {USA}. Obstet Gynecol. 1997 May;89(5 Pt 2):832-3.

Year of publication :


Résumé (français) :

Abstract (English):

BACKGROUND: Misoprostol (prostaglandin E1) compares favorably with dinoprostone (prostaglandin E2) and oxytocin for labor induction at term. Excessive uterine activity has been reported using high-dose regimens, but no negative effect on outcomes has been observed.

CASE: Labor was induced in a 34-year-old multipara at 39 weeks' gestation using intravaginal misoprostol tablets. Five hours after administration of the second 25-microgram dose, fetal bradycardia prompted emergency cesarean delivery. Hysterectomy and left salpingo-oophorectomy were necessary to control bleeding from a 15-cm posterior uterine wall rupture.

CONCLUSION: Misoprostol can cause excessive uterine activity and uterine rupture.

Sumário (português):

Comments :

Fiche importée de avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Keywords :

vaginal birth after caesarean ; c-section/caesarean ; induction of labor ; fetal distress ; postpartum hemorrhage ; misoprostol (Cytotec) ; post-term pregnancy

Author of this record :

Cécile_Loup — 1/02/2006

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