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Year : 1992  |  Volume : 38  |  Issue : 2  |  Page : 58-9

Evaluation of two methods employed for cervical ripening.

Dept of Gynecology & Obstetrics, Nowrosjee Wadia Maternity Hospital, Parel, Bombay, India., India

Correspondence Address:
K K Damania
Dept of Gynecology & Obstetrics, Nowrosjee Wadia Maternity Hospital, Parel, Bombay, India.
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Source of Support: None, Conflict of Interest: None

PMID: 0001432827

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The study evaluates breast stimulation and oxytocin infusion as methods for cervical ripening in patients where an obstetric indication for induction of labour exists. Forty patients with a Bishop score of 5 or 6 were randomly selected for either breast stimulation or oxytocin infusion. In a similar group of 20 cases, no method was employed. The Bishop score improved in 41.2% of cases where breast stimulation was used as compared to 75% where an oxytocin infusion was given. Three foetal deaths in the breast stimulation group brought the study to a stop after 17 cases. Cervical ripening with an oxytocin infusion drip appears to be a better method since infusion dosage can be precisely controlled making the technique more predictable and reliable. Though breast stimulation is effective in ripening the cervix, it may be used only in cases of intrauterine foetal death as it may otherwise adversely affect foetal outcome.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow