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Current Obstetrics and Gynecology Reports

Outpatient Cervical Ripening and Induction of Labor

Published in:
Authors
Tyler Lueck
Sarah Little
Uma Deshmukh
Published in
Current Obstetrics and Gynecology Reports | Issue 1/2025

Abstract

Purpose of Review

Induction of labor (IOL) has become an increasingly more common obstetric intervention, particularly with a recent rise in elective IOL for low-risk patients. Increasing IOL rates have burdened labor and delivery units leading to more research in outpatient cervical ripening and IOL techniques. The purpose of this review is to present recently studied methods for outpatient cervical ripening and IOL.

Recent Findings

Misoprostol can be safely used for outpatient IOL and reduces duration of hospital admission to delivery. Similarly, dinoprostone is an effective option that may reduce uterine tachysystole and increase patient satisfaction. Mechanical methods, such as cervical balloon catheters and osmotic dilators, also have been shown to be safe and effective with high patient satisfaction rates.

Summary

For low-risk patients, outpatient cervical ripening and IOL is a safe and effective method to achieve vaginal delivery. Both pharmacologic and mechanical methods may be utilized for outpatient cervical ripening and IOL.
Title
Outpatient Cervical Ripening and Induction of Labor
Authors
Tyler Lueck
Sarah Little
Uma Deshmukh
Publication date
01-12-2025
Publisher
Springer US
Published in
Current Obstetrics and Gynecology Reports / Issue 1/2025
Electronic ISSN: 2161-3303
DOI
https://doi.org/10.1007/s13669-025-00427-z
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