Riskli Gebeliklerde Oksitosin ve İntraservikal PG E.-Jel ile Doğum İndüksiyonu

Year 1990, Volume: 43 Issue: 1, 247 - 258, 31.03.1990

Cihat Ünlü

https://izlik.org/JA58KL72PM

Abstract

Prostaglandinler, oksitosinden farklı olarak servikal direncide azalttıklarından doğum indüksiyonu için daha çok tercih edilmektedir. Riskli gebelik nedeniyle ve tıbbi bir endikasyonla gebeliğin sonlandırılması gereken 143 hastada oksitosin infüzyonuyla ve 202 hastada PG E:jel ile doğum indüksiyonu yapıldı. 0,4 mg PG E-'nin 3 ml jel
igerisinde servikal kanal i¢ine verilmesiyle serviksin yumusatilmas: ve açılması dolayisiyla daha iyi obstetrikal sonuglara ulaşılmaya çaTışıldı. PG Erjel ile dogum induksiyonu yapildiginda, oksitosin grubundan farkh olarak fetusun intrapartal durumu, dogum stresi dogum sekli gibi parametreler olumlu yonde etkilendiler. İlk planda dikkati ¢eken sonug oksitosin grubunda sezaryen oraninin % 34 olmasina karşın, bu oranin PG E>-jel grubunda % 8'e diismesidir.

Keywords

Prostaglandinler , infüzyon , PG E:jel

Ethical Statement

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Supporting Institution

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Thanks

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Ripening of The Cervix By Oxytocin Infusion and PG E, Gel Intracervically in High-Risk Pregnancies

https://izlik.org/JA58KL72PM

Abstract

Prostaglandins are preferred for induction of labor, as they decrease the cervical resistance unlike oxytocin. When termination of pregnancy because of high risk and a medical indication was necessary ,the induction of labor was managed in 143 patients by oxytocin infusion and in 202 patientsby PG E, gel. 0,4 mg PG E. in 3 ml gel was
applied into the cervical canal in order to ripen and to dilate the cervix and to achieve better obstetrical results. Contrary to the induction of labor with oxytocin infusion, statistically very significant differences in favor of prostaglandin F> gel were found. The fetal morbidity during labor and the duration of labor were decreased and the mode of delivery was improved. The first impression is that, the rate of cesarean section, which is 3¢ % in oxytocin infusion group, decreases to 8 % in the PG E> gel
group.

Keywords

induction , termination , Contrary

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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