INDUCTION

ALIVE FETUS

• Oxytocin 10 units in 500 cc Normal Saline solution
  • Start i.v. infusion with 10 ml per hour
  • increase by 20 ml every 20 minutes until contractions occur

DEAD FETUS (IUFD)

• Misoprostol (Cytotec)

Gestational age < 26 weeks

• ORAL ADMINISTRATION (preferred)
  • One tablet diluted in 10 cc
    • 2 cc orally every 6 hours
• VAGINAL ADMINISTRATION
  • ½ tablet in vagina every 6 hours

Gestationalage > 26 weeks

• ORAL ADMINISTRATION (preferred)
  • One tablet diluted in 10 cc
    • 1 cc orally every 4 hours
• VAGINAL ADMINISTRATION
  • ¼ tablet in vagina every 4 hours
  • One tablet diluted in 10 cc
    • 1 cc in vagina every 4 hours