Cervical Ripening and Labor Induction: A Current Review

  • Hamid Hadi Department of Obstetrics and Gynecology, East Carolina University School of Medicine, Greenville, North Carolina
  • Charles Hodson Department of Obstetrics and Gynecology, East Carolina University School of Medicine, Greenville, North Carolina
Keywords: Obstetric operations. Operative obstetrics

Abstract

DOI: http://dx.doi.org/10.5915/39-1-5251

Labor induction is often necessary because of maternal or fetal indlcatlons. When performed with an unripe cervix, it results in prolonged labor, potential medical compliations, and an increased rate of cesarean section. The purpose of cervicaI ripening and induction of labor is to achieve vaginal delivery and avoid operative delivery by cesarean section. In this revlew, we present cellular and biochemical events in cervical ripening and discuss the indications and contraindications of labor induction, and then describe various pharmacologic and mechanical methods for ripening the cervix and inducing labor.

Published
2007-02-01
Section
Review Articles