کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3953986 1600422 2007 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Misoprostol for intrauterine fetal death
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Misoprostol for intrauterine fetal death
چکیده انگلیسی
The frequency of intrauterine fetal death (IUFD) with retained fetus varies, but is estimated to occur in 1% of all pregnancies. The vast majority of women will spontaneously labor and deliver within three weeks of the intrauterine death. The complexity in medical management increases significantly when the cervix is unripe or unfavorable, or when the woman develops disseminated intravascular coagulation. Misoprostol regimens for the induction of labor for second and third trimester IUFDs, range from 50 to 400 μg every 3 to 12 h, and are all clinically effective. Nevertheless, the current scientific evidence supports vaginal misoprostol dosages, which are adjusted to gestational age: between 13-17 weeks, 200 μg 6-hourly; between 18-26 weeks, 100 μg 6-hourly; and more than 27 weeks, 25-50 μg 4-hourly. In women with a previous cesarean, lower doses should be used and doubling of doses should not occur. Clinical monitoring should continue after delivery or expulsion because of the risk of postpartum atony and/or placenta retention.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gynecology & Obstetrics - Volume 99, Supplement 2, December 2007, Pages S190-S193
نویسندگان
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