More on misoprostol. (News & Notes).A study was performed on literature that confirmed the use of misoprostol to induce labor when there had been a previous cesarean section cesarean section (sĭzâr`ēən), delivery of an infant by surgical removal from the uterus through an abdominal incision. The operation is of ancient origin: indeed, the name derives from the legend that Julius Caesar was born in this . It was based on case reports, a computerized search of medical records, and literature review. Eighty-nine patients with previous cesarean cesarean /ce·sar·e·an/ (se-zar´e-an) see under section. ce·sar·e·an or cae·sar·e·an or cae·sar·i·an or ce·sar·i·an adj. Of or relating to a cesarean section. delivery who had labor induced with misoprostol were identified. Uterine rupture Uterine rupture is a potentially catastrophic event during childbirth by which the integrity of the myometrial wall is breached. In an incomplete rupture the peritoneum is still intact. occurred in five, for a rate of 5.6 percent. Of 423 similar patients who did not receive misoprostol, there was one case of uterine rupture, a rate of 0.2 percent. Researchers concluded that misoprostol may increase the risk of uterine rupture in the patient with a scarred uterus. --American Journal of Obstetrics and Gynecology obstetrics and gynecology Medical and surgical specialty concerned with the management of pregnancy and childbirth and with the health of the female reproductive system. , June 1999, Part 1, Vol. 180 |
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