Induction of Labor in Intrauterine Fetal Death with 16-Phenoxy-Prostaglandin-E2-Methylsulfonylamide (Sulprostone) – Effects on Uterine Contractility, Coagulation and Kallikrein-Kinin Systems

Abstract
Thirty-two patients with intrauterine fetal death after the 20th week of pregnancy were treated with 1–3 intramuscular injections of 500 mg of 16-phenoxy-PGE2-methylsulfonylamide (sulprostone). Intrauterine pressure records demonstrated onset of contractions within 20 min of injection and all women aborted-delivered after in mean 11 h (4–31 h). No effect on routine hematologic and plasma parameters, kallikrein-kinin and factor XII systems was observed. It is concluded that 16-phenoxy-PGE2-methylsulfonylamide is an effective and safe oxytocic agent for the induction of labor in case of intrauterine fetal death with minimal effects on the coagulation system.

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