الفهرس | Only 14 pages are availabe for public view |
Abstract Induction of labor is an integral part of modern obstetric practice. Numerous maternal and fetal conditions exist that require induction of labor to effect delivery in spite of an unfavorable cervix (Magann et al.,1995,). A number of problems related to induction of labor,such as iatrogenic prernativity from uncertainties about the expected date of confinement and protracted labor resulting from the unreadiness of the uterus, can at present, only be circumvented by careful selection of candidates (A Ii iier et aL, 1995b,). To a large extent, the success of the induction of labor depends on whether the myornetriurn has undergone its preparatory changes for delivery and on its sensitivity to labor-inducing agents (Kofler et al., 1993,). These factors correlate both with the maturity of the cervix and with the length of gestation (Jung et at., 1984). One course of action designed to minimize the number of unsuccessful inductions lies in a more careful selection of patients. Up until today a modified Bishop score was most commonly used to determine the existence of conditions favorable to induction, though its predictive value is at times, unfortunately, far from optimal (Ahner et aL, 1995b). |