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Related Experiment Videos

Cervical ripening

R A Chez1

  • 1University of South Florida, Tampa, USA.

Clinical Obstetrics and Gynecology
|September 22, 1998
PubMed
Summary
This summary is machine-generated.

Currently, no hospital-used pharmacologic cervical ripening methods are standard for outpatient settings. However, prostaglandin safety data are growing, and membrane sweeping is supported for office use.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Medicine

Background:

  • Cervical ripening is crucial for labor induction.
  • Outpatient methods for cervical ripening are increasingly sought.
  • Existing hospital-based pharmacologic methods may not translate to outpatient settings.

Purpose of the Study:

  • To evaluate the suitability of current pharmacologic cervical ripening agents for outpatient use.
  • To assess the safety and efficacy of prostaglandin preparations in non-hospital settings.
  • To determine the viability of office-based membrane sweeping for cervical preparation.

Main Methods:

  • Review of published data on pharmacologic cervical ripening agents.
  • Analysis of safety profiles for prostaglandin preparations in outpatient settings.

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  • Evaluation of evidence supporting membrane sweeping in office/clinic environments.

    • Main Results:

    • No current pharmacologic cervical ripening method is considered a standard of care for outpatient settings.
    • Accumulating data suggest the safety of prostaglandin preparations for outpatient cervical ripening.
    • Sufficient evidence supports the continued use of membrane sweeping in office and clinic settings.

    Conclusions:

    • Pharmacologic cervical ripening methods used in hospitals are not yet standard for outpatient care.
    • Prostaglandin preparations show increasing evidence of safety for outpatient use.
    • Membrane sweeping is a viable and evidence-supported outpatient procedure for cervical preparation.