Question

Relative contraindications to the use of prostaglandins for cervical ripening:

a. Previous uterine surgery
b. Ruptured membranes
c. Fetal distress
d. Post-term pregnancy

Answer 1

The relative contraindications to the use of prostaglandins for cervical ripening include previous uterine surgery, ruptured membranes, fetal distress, and post-term pregnancy.

Step-by-step explanation:

The relative contraindications to the use of prostaglandins for cervical ripening include:

1. Previous uterine surgery: Prior surgical interventions on the uterus may have altered the structure and function of the cervix, making it less responsive to prostaglandin-induced ripening.
2. Ruptured membranes: Once the membranes rupture, there is an increased risk of infection, and introducing prostaglandins may further increase this risk.
3. Fetal distress: If the fetus is showing signs of distress, using prostaglandins for cervical ripening may not be appropriate as it can further compromise the fetal well-being.
4. Post-term pregnancy: It is generally considered safe to use prostaglandins for cervical ripening in post-term pregnancies, but caution is advised due to the increased risk of complications associated with prolonged pregnancies.