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Implementation of Evidence-Based Cervical Ripening Protocol: Outcomes and Next Steps
Arthurine Zakama1, Nasim C Sobhani1, Robyn Lamar1
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California.
AJP Reports
|December 9, 2020
Summary
Implementing low-dose misoprostol with a cervical Foley catheter did not reduce time to delivery in a real-world setting. Variations in labor management and protocol adherence may explain the lack of observed effectiveness for induction of labor.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Medicine
Background:
- A previous randomized controlled trial indicated that combining low-dose misoprostol with a cervical Foley catheter shortens the time to delivery.
- This study evaluated the real-world implementation and impact of this combined cervical ripening protocol.

