Misoprostol or Foley catheter for an unfavorable cervix at term?
Based on a randomized controlled trial (RCT) to determine safety and effectiveness
Both misoprostol and Foley catheter will work when considering induction in an unfavorable cervix at term
50 micrograms oral misoprosotol every 4 hours or a 30 ml transcervical Foley catheter did not show a difference in safety profile when looking at fetal asphyxia or postpartum hemorrhage
In this multicenter, randomized, open label trial, Eikelder and colleagues (Lancet, 2016) studied 932 women with an unfavorable cervix (Bishop score < 6) at term to determine if there is a safety difference between oral misoprostol or Foley catheter. The primary outcomes considered were a composite score for infant asphyxia (pH less than or equal to 7.05 or 5 minute APGAR less than 7) or postpartum hemorrhage of greater than 1000 ml.
Labor induction can occur in up to 30% of pregnancies
Oral misoprostol and Foley catheter are both effective to maximize the likelihood of vaginal birth at term
Oral misoprostol and Foley catheter are similar in safety and effectiveness
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
NOT ENOUGH CME HOURS
It appears you don't have enough CME Hours to take this Post-Test. Feel free to buy additional CME hours or upgrade your current CME subscription plan