Citation, DOI, disclosures and article data
Citation:
Iqbal S, Sharma R, Knipe H, Cervical ripening. Reference article, Radiopaedia.org (Accessed on 02 Oct 2023) https://doi.org/10.53347/rID-88130
Cervical ripening is the softening of the cervix that needs to occur before induction of labor and delivery of the fetus. The use of appropriate interventions (e.g. isoprostol, nitric oxide, PGE2, Foley's balloon in case of low-risk females, acupuncture 1-5) can lead to satisfactory cervical ripening without significant effect over uterine contractions/labor.
Practical points
- a Bishop score <6 it is recommended that a cervical ripening agent should be used before induction of labor
- if the Bishop score is satisfactory, the choice of medicine is oxytocin 2,3
- 1. Amorosa J, Amorosa SJ, Amorosa. Outpatient cervical ripening. (2015) Seminars in perinatology. doi:10.1053/j.semperi.2015.07.014 - Pubmed
- 2. Shirley M, Shirley. Dinoprostone Vaginal Insert: A Review in Cervical Ripening. (2018) Drugs. doi:10.1007/s40265-018-0995-2 - Pubmed
- 3. Tenore JL. Methods for cervical ripening and induction of labor. (2003) American family physician. 67 (10): 2123-8. Pubmed
- 4. Vicky Chen, Penelope Sheehan. Outpatient management of pre-induction cervical ripening. (2020) The Journal of Maternal-Fetal & Neonatal Medicine. doi:10.1080/14767058.2020.1811665
- 5. Sarumi M, Sarumi GR, Sarumi BT, Sarumi JP, Sarumi JM, Sarumi BA, Sarumi. A comparison of cervical ripening modalities among overweight and obese nulliparous gravidas. (2020) The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. doi:10.1080/14767058.2019.1586877 - Pubmed
- 6. Korb D, Korb RS, Korb MC, Korb MP, Korb SO, Korb. Double-balloon catheter versus prostaglandin for cervical ripening to induce labor after previous cesarean delivery. (2020) Archives of gynecology and obstetrics. doi:10.1007/s00404-020-05473-x - Pubmed
Promoted articles (advertising)