Abstract | BACKGROUND: We compare trends and current levels of cesarean section delivery by indication in some industrialized countries to help us understand factors underlying national differences in obstetric delivery practice and identify pathways to lower cesarean rates. STUDY DESIGN: In this report we describe the schemes employed at our Department for the management of low-risk at term and postterm pregnancies and list the most important motivations for increased cesarean section rate and remedies suggested to reduce high cesarean section rate. Moreover a randomized trial to assess the role of labor induction with PGE2 gel vs i.v. Oxytocin+Amniotomy in the management of prolonged pregnancy is being evaluated presently at our center. METHODS: To date, 75 postterm pregnancies have been followed. Patients are enrolled at > or = 287 days (41 weeks). Intracervical PGE2 gel (0.5 mg) is used for cervical ripening. Induction of labor is randomly performed using intravaginal PGE2 gel (2 mg) or i.v. Oxytocin+Amniotomy. RESULTS: CONCLUSIONS: The accurate labelling of low- and high-risk pregnancy and the appropriate management of term and postterm pregnancy are two important steps for the reduction of a high rate of cesarean section.
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Authors | S Mancuso, S Ferrazzani, S De Carolis, B Carducci, L De Santis, A Caruso |
Journal | Minerva ginecologica
(Minerva Ginecol)
Vol. 48
Issue 3
Pg. 95-8
(Mar 1996)
ISSN: 0026-4784 [Print] Italy |
PMID | 8684694
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Gels
- Oxytocin
- Dinoprostone
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Topics |
- Adolescent
- Adult
- Age Factors
- Cesarean Section
(statistics & numerical data)
- Dinoprostone
(administration & dosage)
- Europe
(epidemiology)
- Female
- Gels
- Humans
- Italy
(epidemiology)
- Labor, Induced
(methods)
- Oxytocin
(administration & dosage)
- Parity
- Pregnancy
- Pregnancy Complications
(epidemiology)
- Pregnancy, Prolonged
(drug effects)
- Risk Factors
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