ayendra Fernando | International Medical University (original) (raw)
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Papers by ayendra Fernando
International journal of reproduction, contraception, obstetrics and gynecology, 2020
Induction of labour is defined as artificial ripening of the cervix by either using pharmacologic... more Induction of labour is defined as artificial ripening of the cervix by either using pharmacological or mechanical methods to stimulate uterine contractions before labour begins in order to achieve a successful vaginal delivery. It is carried out if the continuation of the pregnancy is harmful to the mother or the fetus. Common indications for induction of labour include post-dated pregnancy, premature rupture of membranes, medical disorders like pre-eclampsia, gestational diabetes and intrauterine growth restriction. It is contraindicated in complete placenta previa and fetal malpresentation. Various methods have been used in the past, which includes breast stimulation, purgatives like castor oil and laxatives. Prostaglandins have been in use since the 1980’s. Foley catheter has been a good alternative to prostaglandins in view of cost and low incidence of fetal distress. A variant of the Foley, the double balloon catheter (DBC) was thought to be superior to the Foley by virtue of i...
International journal of reproduction, contraception, obstetrics and gynecology, 2020
Induction of labour is defined as artificial ripening of the cervix by either using pharmacologic... more Induction of labour is defined as artificial ripening of the cervix by either using pharmacological or mechanical methods to stimulate uterine contractions before labour begins in order to achieve a successful vaginal delivery. It is carried out if the continuation of the pregnancy is harmful to the mother or the fetus. Common indications for induction of labour include post-dated pregnancy, premature rupture of membranes, medical disorders like pre-eclampsia, gestational diabetes and intrauterine growth restriction. It is contraindicated in complete placenta previa and fetal malpresentation. Various methods have been used in the past, which includes breast stimulation, purgatives like castor oil and laxatives. Prostaglandins have been in use since the 1980’s. Foley catheter has been a good alternative to prostaglandins in view of cost and low incidence of fetal distress. A variant of the Foley, the double balloon catheter (DBC) was thought to be superior to the Foley by virtue of i...