Free Board Review Questions of the Week – Cervical Ripening Agents

Adam WandermanOBGYN Question of the Week, Personal Education, Question of the Week

Free board review question of the week on cervical ripening agents

This week's free board review question...

A 30-year-old gravida 1 para 0 woman presents at 41 weeks of gestation for induction of labor. She has no significant medical or surgical history, and her pregnancy has been uncomplicated. On vaginal examination, her cervix is unfavorable. Fetal status is reassuring.

Before starting this patient’s induction, how should you counsel her regarding different agents for cervical ripening?

Answer Options

The risk of tachysystole with fetal heart rate changes is greatest with mechanical dilators.
Misoprostol decreases cesarean delivery risk, whereas dinoprostone does not.
Use of prostaglandins in addition to Foley balloon lowers the risk of cesarean delivery more than prostaglandins alone.
Misoprostol, dinoprostone, and balloon ripening all have similar effectiveness in achieving vaginal delivery within 24 hours of oxytocin start.

And the answer is ...

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