USE OF PROSTAGLANDINS FOR INDUCTION OF LABOR

Authors

  • Mary L. Day CNM, MSN,

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    • Mary L. Day, CNM, MSN, is an assistant clinical professor in the Department of Obstetrics and Gynecology at the University of California, Irvine. She earned her master's of science degree in nursing from Vanderbilt University. During her master's program she also became credentialed as a family nurse practitioner. She obtained her nurse-midwifery credentials through postgraduate education at the University of California, San Diego. School of Medicine. Ms. Day is currently practicing at University of California. Irvine (UCI), Birthing Center, supervising nurse-midwife and medical students. Her research interests include the utilization of prostaglandin suppositories for induction of labor in patients with premature rupture of membranes at term in a birthing center environment.

  • B. J. Snell CNM, PhD

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    • B. J. Snell, CNM, PhD, is an assistant clinical professor in the Department of Obstetrics and Gynecology at the University of California, Irvine. Dr. Snell began her nursing studies through the University of Alabama. She continued her education in nursing and graduated with a master's of science degree from the University of Colorado. She completed her education in nurse-midwifery and graduated with a doctorate in nursing at the Oregon Health Sciences University. Dr. Snell also served as codirector for the Breastfeeding Service, which was the first service of its land in the state of Oregon. She is currently the Director of Nurse-Midwifery at UCI Birthing Center and is an active consultant for the UCI Medical Center Nursing Research Committee.


Mary L. Day, CNM, MSN, 638 Poinsettia Park Court, Encinitas, CA 92024.

ABSTRACT

Nurse-mid wives are sometimes required to intervene in the normal process of labor. Numerous clinical trials have investigated the use of prostaglandins for induction of labor. Research indicates the use of prostaglandins to be a safe and effective method of induction of labor with favorable results when compared with the more traditional use of oxytocin. Patient acceptance appears to be favorable because of the reduced need for restrictive and invasive methods of monitoring and administration that accompany intravenous oxytocin. Thus, the use of prostaglandins for induction of labor offers nurse-midwives an attractive alternative to the use of oxytocin when induction is medically indicated. This article provides a description of the biochemical effects of prostaglandins on the uterus and cervix, development and clinical use of prostaglandin preparations, indications for use of induction, and potential for utilization in nurse-midwifery practice.

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