Re: Risk of induction in multiparous

From: Bernard Cristalli (bcrist@club-internet.fr)
Mon Aug 17 10:40:23 1998


Ricardo Savaris wrote: >
> Dear All
>
> I left my on call last week with 2 pending patients. Both had PROM, clear
> amniotic fluid, fetal well-being were fine.
> One of them was Gesta9 Para8 (all normal deliveries). She had PROM at 8:00
> pm. I decided to wait 'til tomorrow to start induction. My next collegue
> came with the following statement:
>
> "There is a higher risk for uterine rupture during induction in this kind
> of patient, because she is a multiparous."
> I don't recall much about it, in my idea it would be easier to induce labor
> on this type of patient, any comments?
>
--

So if the risk of uterine rupture is as high as that in those patients they need a C-section... Seriously, the only interest in no inducting is to be uninvolved in the decision. The rupture would have take place anyway.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm
http://www.cliniquedelessonne.fr/




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