PGF2A 3000 ug + D5W 500 cc: initial 3 ug/min (0.5 cc = 10 gtt), + 5 gtt q 15-30 min

proper dosage at 6-9 ug/min (20-30 gtt/min), max 24 ug/min (80 gtt/min)

end up of 3000 ug:

1. bishop score imprved but not in labor, repeat one cycle
2. bishop score > 8, repeat one cycle or change to oxytocin after 20-30min
3. bishop score not improved, discontinue and repeat the same dosage next day

Extraovulary Foley traction

1. Preparation: 1000 ug + 3.8 ml NS (totally 4ml)

2. Foley catheter no 14-16F with baloon 20-30 ml

Note:

1. no response after first infusion, reinsertion of Foley catheter
2. traction of the Foley catheter to occlude the cervical OS
3. testing dosage= 250 ug (1ml/1000ug in 3.8 ml NS) + NS 3.5 ml
4. the thrid and subsequential dosages were given q one hour (average)
5. strong response after testing dosage à reducing dosage to 500 ug (2ml) or prolonged interval of administration
6. max 3000 ug, administration q one hour

Prostarmone E (dinoprostone 0.5 mg) oral administration

1. administration while OS > 1.5 cm
2. interval q one hour, max 6 tablets
3. discontinuation after 6 tablets and ineffective, repeat same regimen next day

Prostaglandin E2 (PGE2) prostin E2

For elective labor induction: one tab to be inserted high into the posterior fornix, the second tab may be insrted after 6-8 hrs if labor is not established, continuous administration of the drug for more than 2 days is not recommed, Max daily dosage 6 mg.

Pinton-S (10 units/1ml 1amp)

1amp in D5W or NS

1. IV infusion
2. Ordered and recorded in milliunits per minute
3. Started at 1-2 milliunits per minute (1-2 gtt) to a maximum of 20 milliunits per minute (20 gtt)
4. Cryatalloid solution

< 6-7 wks:

Day 1 200 mg or 600 mg mifepristone

Abortion in 4 hours (repeated after 3 hrs if no expulsion occurs)