A systematic review and network meta-analysis comparing the use of Foley catheters, SEARCH STRATEGY: Medline, Embase, and the Cochrane Vaginal misoprostol was the most effective cervical ripening method to. Oral misoprostol is effective at inducing (starting) labour. This review of 75 randomised controlled trials (13, women) found that oral. Misoprostol is a hormone given by insertion through the vagina or rectum, or by mouth to ripen the cervix and bring on labour. The review of.
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We found no information on women's views. However it has been used for various other indications in obstetrics and gynaecology. We used fixed-effect Mantel-Haenszel meta-analysis for combining dichotomous data. Misoprostol is a synthetic prostaglandin E1 analogue which was originally developed to prevent non-steroidal anti-inflammatory drugs related gastric ulcers. Ethics declarations Competing Interests The authors declare that they have no competing interests. Nielsen, S. The article was reviewed and revised by another researcher S. If there was no inconsistency between direct and indirect sources of evidence, fixed effects models would be used in further analysis, otherwise random effects models would still be used and sensitivity analyses would be performed to exclude studies with possibilities of causing bias in the close loops. A randomised controlled trial of oral versus vaginal misoprostol for medical management of early fetal demise. Tanha, F. Is it different? Management of missed abortion: comparison of medical treatment with either mifepristone misoprostol or misoprostol alone with surgical evacuation. Waiting for spontaneous expulsion of the products of conception would waste much time, during which women may suffer uncertainty and anxiety 5. Ectopic pregnancy and miscarriage: diagnosis and initial management. This review of 75 randomised controlled trials 13, codhrane found that oral misoprostol appears to be at least as effective as current methods of induction. Jain, J. The remaining 13 articles met hasta los cuantos meses se con
predefined inclusion criteria. If multiple doses were given, more women with lower-dose misoprostol would convert into complete abortion, which was confirmed by Kovavisarach The relation between max doses or medication intervals with complete abortion rate or side effects need to be further researched. Overall, there were 75 trials 13, women ; these were of mixed quality. There were no obvious differences in the number of women who had a vaginal birth within 24 hours, or the number of women who experienced uterine hyperstimulation with changes to the baby's heart rate, although there were fewer caesarean sections in the group of women who were given oral misoprostol. We developed a strategy to deal with the large volume and complexity of trial data relating to labour induction. All women must be informed of the advantages and disadvantages of surgical and medical treatment. Oral misoprostol for induction of labour Oral misoprostol is effective at inducing starting labour.