Limit stimulants that cause labor in pregnant women

October 9, 2012 15:56

The Department of Maternal and Child Health (Ministry of Health) has just requested the health departments of provinces and centrally run cities not to use Prostaglandin to induce labor in full-term pregnant women and live fetuses because of the risk of uterine rupture and fetal distress.

Ms. Luu Thi Hong, Deputy Director of the Department of Maternal and Child Health, said that the above request was made to prevent obstetric complications and drug abuse that can occur when inducing labor.

Health check for pregnant women. (Photo: VNA)

Recently, many obstetric accidents have caused the death of many mothers.

In obstetric complications reported in the first 6 months of 2012, there were 88 maternal or both maternal and child deaths in many localities.

According to the Department of Maternal and Child Health (Ministry of Health), of these 88 deaths, 60 were directly caused by obstetric complications, while 28 other cases were believed to have pre-existing medical conditions.

Ms. Hong said that using Prostaglandin is one of the methods to induce labor. The drug commonly used today is Misoprostol (Prostaglandin E1) which is also very effective in softening and opening the cervix and inducing labor. In addition, misoprostol also has an effect that lasts until the third stage of labor, directly affecting postpartum hemostasis.

However, to prevent obstetric complications and drug abuse that may occur when performing labor induction, it is recommended that the health departments of provinces and centrally run cities direct obstetric facilities not to use Misoprostol (the most commonly used brand name of Misoprostol today is called Cytotec) to induce labor in full-term pregnant women and live fetuses because of the risk of uterine rupture and fetal distress.

In other cases, when using Misoprostol, in addition to complying with the conditions, indications, contraindications, and pre-labor assessment, it is necessary to closely monitor uterine contractions, fetal heart rate, side effects, and labor progress for timely assessment, prognosis, and treatment.

Doctors need to advise pregnant women and their families about the time to monitor labor, the appearance of pain due to uterine contractions, and some side effects of medication so that pregnant women and their families can feel secure and cooperate closely with the doctor.

The Department of Maternal and Child Health also requested the health departments of provinces and centrally run cities to regularly inspect and monitor the implementation of professional regulations, especially the use of uterine contraction drugs. Absolutely do not abuse uterine contraction drugs to induce labor./.

Waiting for labor to start naturally is always the best option. Induction or induction of labor is the medical intervention to start labor other than natural labor to end a pregnancy.


According to the Department of Maternal and Child Health, when there is a clear reason for inducing labor to terminate a pregnancy, professional guidance in the National Guidelines on Reproductive Health Care Services issued in 2009 must be followed.


The 2009 National Guidelines outline methods of labor induction, each with its own indications, contraindications, and specific maternal and fetal factors that need to be assessed before selecting the method appropriate to the facility's conditions.


(According to Vietnam+) - NT

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Limit stimulants that cause labor in pregnant women
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