PMC4317200_01
Bedside partogram (induction day 2).
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fig01
As presented in Figure1, the regular uterine contractility was initiated nearly 4 h after the application of this prostaglandin E1 (PGE1) analog. It remained rigid and 5 mm dilated, as evidenced by serial digital assessments 0, 2, 4, and 5 h after the misoprostol application (Fig.1, red dots).
Schematic presentation of observed posterior cervical tear (PCT), below unopened cervical os (CO), that permitted spontaneous delivery of the fetus.
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fig02
In parallel, a 4 cm wide, posterior cervical tear was observed from 4 to 9 o'clock without extension to the vaginal fornix, as schematically presented in Figure2.