Labor induction during a complicated term pregnancy: When, why, and how
When should you induce labor and what's the best cervical ripening agent to use in these patients? Two experts review the scientific evidence on oxytocin, misoprostol, PGE2, and transcervical balloon catheters and offer practical advice on each.
Cervical ripening agents such as prostaglandins and transcervical balloon catheters have been useful in women with an unfavorable cervix at term, but controversy still exists regarding the safety and effectiveness of cervical ripening agents in women with PROM or specific pregnancy complications. Our goal here is to help the obstetrician choose the best strategy for patients with a medically indicated term IOL. Methods of cervical ripening and IOL included in this article include oxytocin, synthetic prostaglandins E1 (misoprostol) and E2 (e.g., dinoprostone) (PGE1, PGE2), and transcervical balloon catheters (e.g., the Foley catheter).
How do you manage PROM?
A legacy of excellence: Reflecting on the final print edition of Contemporary OB/GYN
April 25th 2025Marking the end of an era and the beginning of a new chapter, the final print edition of Contemporary OB/GYN celebrates over 50 years of evidence-based guidance and unwavering support for clinicians.
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