Isosorbide mononitrate for preinduction cervical ripening at or post-term pregnancy:randomised placebocontrolled clinical trial  

作　　者：Ramy Mohamed El-Naggar Ahmed Nagy Shaker Mohamed Attia Raslan Heba Rady El-Bassyouny 

机构地区：[1]Obstetric and Gynecology,Tanta University,Tanta,Gharbia,Egypt [2]Obstetrics and Gynecology,Kafr el-Sheikh University,Kafr el-Sheikh,Egypt

出　　处：《Gynecology and Obstetrics Clinical Medicine》2025年第1期51-57,共7页妇产科临床医学(英文)

摘　　要：Introduction Efective labour induction is marked by the onset of uterine contractions,progressive cervical dilation,and efacement,culminating in a vaginal birth without matemal or fetal complications.The success of induction largely depends on cenvical ripening.Isosorbide mononitrate(ISMN),a nitric axide donor,has shown potential for cervical ripening.faciitating labour induction by promoting cervical softening,efacement and dilation.This study evaluates the eficacy and safety of ISMN for cervical ripening before labour induction at term or post-term.Methods In this double-binded randomised controlled trial,160 primigravidas with an unripe cenix(Bishop score<6)undergoing labour induction at term or post-term were enolled.The ISMN group received 40mg of intravaginal ISMN in the posterior formix every 4hours,up to four doses.The placebo group received intravaginal pridoxine placebos on the same schedule.The primary outcome measured was the duration from labour induction to placental dllvery.Secondary outcomes included caesarean section rates.Results The ISMN group had a ststically significant shorter induction-to-delivery time compared with the placebo group(20.5714.64hours VS 23.15+5.13hours,p=0.01).Addionally,the time from the first dose to dellvery was reduced in the ISMN group.The caesarean section rate was lower in the ISMN group(29%VS 41%,p=0.17),though this dfferenrce was not stitially significant.Conclusion ISMN is an efctive and safe option for cerical ripening,poentally shortening the labour duration.

关 键 词：cervical ripening promoting cervical softeningefacement isosorbide mononitrate nitric axide uterine contractionsprogressive cervical ripeningfaciitating cenvical ripeningisosorbide mononitrate ismn labour induction 

分 类 号：R714.3[医药卫生—妇产科学]