Synthetic laminaria tent for cervical ripening.

Abstract

The efficacy and safety of a synthetic laminaria tent (Lamicel; Cabot) in ripening the cervix before induction of labour was compared with prostaglandin E2 (PGE2) oral tablets used intravaginally. Eighty patients were randomly assigned to use of the laminaria tent (N = 40) or PGE2 (N = 40). There were an equal number of primigravidas and multigravidas in each group. The only significant difference between the groups was the higher frequency of uterine hypertonicity (29 v. 5 : PGE2 v. tent) and consequent fetal distress (5 v. 1 : PGE2 v. tent) in the PGE2 group. However, the duration of labour was shorter in the PGE2 group than in the tent group (10, 14 h v. 11,61 h). These findings indicate that the synthetic laminaria tent is the preferred agent for cervical ripening in high-risk pregnancies and in developing countries.

• Authors: J S Bagratee, J Moodley
• Journal: South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde (S Afr Med J) Vol. 78 Issue 12 Pg. 738-41 (Dec 15 1990) ISSN: 0256-9574 [Print] South Africa
• PMID: 2251632 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)

Chemical References

• Prostaglandins E

Topics

• Administration, Intravaginal
• Adolescent
• Adult
• Cervix Uteri (physiology)
• Female
• Humans
• Labor, Induced (methods)
• Laminaria
• Pregnancy
• Prostaglandins E (administration & dosage)
• Random Allocation