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[Delivery in prolonged pregnancy following preparation and induction with aprofen and prednisolone].

Abstract
In 51 chronological prolonged pregnancies at 42 weeks gestation the preparation and induction was made usage of the Soviet spasmolytic preparation Aprophen. Aprophen blocks also N-cholinergic receptors in sympathetic ganglia. The tocolytic action of sympathetic system on uterine musculature was removed as well as its tonic alpha-adrenergic effect on the cervix. Thirty pregnant women were included in a control comparative group, in whom induction and preparation of labour activity was achieved by usage of corticosteroids-Prednisolone. The medication in both groups continued till beginning of labour activity, but in failure after 96 h till oxytocin indication. In 77% of women, treated with Aprophen, labour activity occurred before 96 h (40 out of 51 women but 50% of women treated with Predinisolone (15 out of 30 women)/p less than 0.02/. In 31% of women, treated with Aprophen, labour activity was induced by oxytocin stimulation (14 out of 40 women, but in 76% of women, treated with Predinisolone (10 out of 15 women)/p less than 0.05/. The high percentage of children delivered with signs of postmaturity according to Clifford in pregnant women treated with corticosteroid--23.3% against 9.8% of women treated with Aprophen (p less than 0.01) show the connection between the usage of corticosteroids and the increase of the frequency of signs of postmaturity in newborns.
AuthorsD Grudev
JournalAkusherstvo i ginekologiia (Akush Ginekol (Sofiia)) Vol. 29 Issue 3 Pg. 14-8 ( 1990) ISSN: 0324-0959 [Print] Bulgaria
Vernacular TitleRazhdane pri prenosena bremennost sled podgotovka i induktsiia s aprofen i prednizolon.
PMID2252139 (Publication Type: Comparative Study, English Abstract, Journal Article)
Chemical References
  • Parasympatholytics
  • Phenylpropionates
  • Oxytocin
  • Prednisolone
  • aprofen
Topics
  • Apgar Score
  • Drug Evaluation
  • Female
  • Humans
  • Infant, Newborn
  • Labor, Induced (methods)
  • Oxytocin (administration & dosage)
  • Parasympatholytics (administration & dosage)
  • Phenylpropionates (administration & dosage)
  • Prednisolone (administration & dosage)
  • Pregnancy
  • Pregnancy, Prolonged
  • Time Factors

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