{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:03:50Z","timestamp":1762866230216},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,8,15]],"date-time":"2013-08-15T00:00:00Z","timestamp":1376524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to determine whether mechanical cervical dilatation with a laminaria tent in women with premature rupture of membranes <jats:styled-content style=\"fixed-case\">(PROM<\/jats:styled-content>) at term may influence the maternal\/neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed the medical records and histopathologic results of the placenta in 782 women with <jats:styled-content style=\"fixed-case\">PROM<\/jats:styled-content> at term. Of the 486 women seen prior to 2010 (group 1), 85 had <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop scores of 5 or less and underwent insertion of laminaria tents (group A). In the 296 women admitted after 2010 (group 2), 27 had <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop scores of 5 or less and underwent labor management without insertion of laminaria tents (group <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>). The patient characteristics, delivery course and neonatal outcomes were compared between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in the maternal age, percentage of nulliparas, body mass index, gestational age at delivery or <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score between the groups. The <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ishop score improved from 2.5 to 6.1 after laminaria tent insertion in group <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>. However, there were no significant intergroup differences in the frequency of use of labor\u2010inducing agents or the time interval from <jats:styled-content style=\"fixed-case\">PROM<\/jats:styled-content> to delivery. The incidence of clinical\/pathological chorioamnionitis was not higher in group A than in group <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>. No significant differences were found in the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pgar scores, umbilical artery p<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content> or frequency of asphyxia neonatorum between the groups. Mechanical cervical dilatation by laminaria tent insertion neither increased the incidence of infection nor contributed to improvement of the perinatal prognosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Mechanical cervical dilatation does not provide any benefit for women with <jats:styled-content style=\"fixed-case\">PROM<\/jats:styled-content> at term.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12116","type":"journal-article","created":{"date-parts":[[2013,8,15]],"date-time":"2013-08-15T15:33:52Z","timestamp":1376580832000},"page":"32-39","source":"Crossref","is-referenced-by-count":4,"title":["Significance of cervical ripening in pre\u2010induction treatment for premature rupture of membranes at term"],"prefix":"10.1111","volume":"40","author":[{"given":"Kentaro","family":"Kurasawa","sequence":"first","affiliation":[{"name":"Perinatal Center for Maternity and Neonate Yokohama City University Medical Center  Yokohama Kanagawa 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