Cervical ripening and induction of labor: Interpretation of 2023 Society of Obstetricians and Gynaecologists of Canada clinical practice guideline
10.3760/cma.j.cn113903-20230921-00220
- VernacularTitle:促宫颈成熟和引产：2023年加拿大妇产科医师协会指南解读
- Author:
Liju YANG
1
;
Chunyan SHI
Author Information
1. 北京大学第一医院妇产科，北京 100034
- Keywords:
Cervical ripening;
Labor induced;
Diagnostic and treatment guideline
- From:
Chinese Journal of Perinatal Medicine
2023;26(10):803-810
- CountryChina
- Language:Chinese
-
Abstract:
In January 2023, the Society of Obstetricians and Gynaecologists of Canada (SOGC) released the guidelines "Cervical Ripening and Induction of Labour" based on the latest research results and evidence-based evidence, which are divided into three parts: General, Cervical Ripening and Induction of Labour, detailing the indications and methods of cervical ripening and induction of labor. This article highlights the main update points in the guideline. The SOGC Induction Guideline emphasizes the individualization of induction and the importance of respecting patients' choices and providing humane care. The guideline also recommends to confirm gestational age according to the ultrasound examination at 8-12 weeks and inducing labor for pregnant women aged 40 and above at or after 39 weeks. In terms of cervical ripening, both balloon catheters and prostaglandin preparations are effective, with balloon catheters being suitable for women with scarred uterus who require vaginal delivery. Balloon catheters and prostaglandin E 2 suppositories can be used for outpatient cervical ripening. Misoprostol and prostaglandin E 2 preparations can be used for both cervical ripening and labor induction. Low-dose oral misoprostol is safe and effective, while misoprostol solution is easier to administer accurately.If cervical ripening is prolonged, the process of cervical ripening can be interrupted if the mother and fetus are safe.
