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CERVICAL RIPENING

Obstetrics and Gynecology Clinics of North America, 1999
Induction of labor is indicated when the benefits to either the mother or the fetus outweigh the benefits of continuing the pregnancy. The state of the cervix is clearly related to the success of labor induction and the duration of labor. In cases of unfavorable cervices, physicians usually use a ripening agent before inducing labor.
S, Riskin-Mashiah, I, Wilkins
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Outpatient cervical ripening

Seminars in Perinatology, 2015
Induction of labor is one of the most commonly performed obstetric procedures. Many patients undergoing labor induction require cervical ripening. In an era where cost and patient satisfaction have become paramount, the idea of outpatient cervical ripening is appealing; provided it can be performed in a safe and cost effective manner.
Jennifer M H, Amorosa, Joanne L, Stone
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Cervical Ripening

Clinical Obstetrics and Gynecology, 1998
In conclusion, no pharmacologic method presently used in the hospital to ripen the cervix has attained the level of standard of care for application in most office or clinic outpatient settings. Published data are accumulating that support the safety of the prostaglandin preparations for this purpose.
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