Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Mar 1999
Clinical TrialLabor induction by vaginal misoprostol in grand multiparous women.
Grand multiparous women in poor and under-privileged settings run a high risk of uterine rupture at labor induction. The purpose was to elucidate whether vaginal misoprostol medication is a safe and cost-effective alternative induction method in grand multiparous women, in whom, under prevailing circumstances, induction by oxytocin is associated with high risk of adverse maternal outcome of pregnancy. ⋯ Induction of under-privileged grand multiparous women with live fetus or with fetal death can be performed safely and cost-effectively by vaginal misoprostol.