uterine perforation/prostaglandin

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Cervical ripening with prostaglandin E1: how an ambulatory method decreases the hospital stay in abortus with intrauterine fetal demise.

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OBJECTIVE This study was designed to determine whether use of prostaglandin E(1 )(PGE(1)) is justified to improve the known clinical outcome of prostaglandin E(2) (PGE(2)) gel, because PGE(2) gel preparations are more costly than PGE(1) tablets in most countries, and data to support the use of the

Intracervical administration of prostaglandin E2 prior to vacuum aspiration. A prospective double-blind randomized study.

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Two-hundred and ninety-three patients without a previous vaginal delivery were randomized to intracervical/extra-amniotic application of 0.5 mg prostaglandin E2 (PGE2) or to gel only. Of the patients who received PGE2, 18.7% were admitted before the next morning due to spontaneous abortion, bleeding

Foley catheter versus vaginal prostaglandin E2 gel for induction of labour at term (PROBAAT trial): an open-label, randomised controlled trial.

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BACKGROUND Induction of labour is a common obstetric procedure. Both mechanical (eg, Foley catheters) and pharmacological methods (eg, prostaglandins) are used for induction of labour in women with an unfavourable cervix. We aimed to compare the effectiveness and safety of induction of labour with a

Preparation of the cervix: hydrophilic and prostaglandin dilators.

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The use of laminaria has made possible safe uterine evacuation in the second-trimester and has been identified as a protective factor in the prevention of uterine perforation in first-trimester abortion. Two additional approaches to cervical dilation are now available - synthetic hydrophilic

Prostaglandins for management of retained placenta.

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BACKGROUND Retained placenta affects 0.5% to 3% of women following delivery and it is a major cause of maternal death due to postpartum haemorrhage. Usually, retained placenta has been managed by manual removal or curettage under anaesthesia, which may be associated with haemorrhage, infection and

Uterine perforation during surgical abortion: a review of diagnosis, management and prevention.

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We analysed results of 13,907 women who underwent termination of pregnancy over a 6-year period in a public day-surgery clinic in South Australia to determine possible risk factors and preventive measures for known perforation of the uterus in surgical abortion. The perforation rate in the first

Cervical preparation for second-trimester surgical abortion prior to 20 weeks' gestation: SFP Guideline #2013-4.

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For a dilation and evacuation (D&E) procedure, the cervix must be dilated sufficiently to allow passage of operative instruments and products of conception without injuring the uterus or cervical canal. Preoperative preparation of the cervix reduces the risk of cervical laceration and uterine

Second- and third-trimester termination of pregnancy in women with uterine scar - a retrospective analysis of 111 gemeprost-induced terminations of pregnancy after previous cesarean delivery.

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BACKGROUND This study was conducted to evaluate and analyze the efficacy and safety of using gemeprost for second- and third-trimester termination of pregnancy (TOP) in women with uterine scar due to previous cesarean section. METHODS Retrospective analysis of 111 medical TOPs for fetal anomaly or

Dilatation and curettage for second-trimester abortions.

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This study reports the outcome of 2,500 consecutive second-trimester abortions performed with the dilatation and curettage methods. Of the abortions, 99.2 per cent were for gestations between the fifteenth and eighteenth menstrual weeks of pregnancy. We determined that this procedure is both safer

Uterine rupture after hysteroscopic metroplasty and labor induction. A case report.

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BACKGROUND Hysteroscopic metroplasty has become the method of choice for the treatment of uterine septa. Uterine perforation has been reported in about 1% of surgical hysteroscopic procedures. Ultrasound allows the detection of uterine lesions. METHODS A woman who conceived after complicated

Nitric oxide donors for cervical ripening in first-trimester surgical abortion.

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BACKGROUND Cervical priming before first-trimester surgical abortion is recommended in certain groups of women. Nitric oxide (NO) donors induce cervical ripening without uterine contractions, but the efficacy and side effects are of concern. OBJECTIVE To evaluate NO donors for cervical ripening

[Morbidity of dilatation and evacuation in the second trimester: an analysis].

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OBJECTIVE To compare the rates of complications of dilatation and evacuation (D&E) in the second trimester of pregnancy. METHODS Retrospective analysis of early complications after D&E in the second trimester (group A: 1988-1994) in comparison with D&E in the first trimester (group B: 1997) and with

Medical versus surgical methods for first trimester termination of pregnancy.

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BACKGROUND Induced abortions are very commonly practiced interventions worldwide. A variety of medical abortion methods have been introduced during the last decade in addition to existing surgical methods. In this review we systematically searched for and combined all evidence from randomised

Medical versus surgical methods for first trimester termination of pregnancy.

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Early complications of induced abortion in primigravidae.

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Of a total number of 521 patients, 461 (88.5%) returned for a follow-up examination. A gestational length of 10 weeks or less was terminated by vacuum aspiration, 11 weeks or more by prostaglandin administration. Uterine perforation occurred in two patients, in one complicated by pelvic inflammatory

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Herbal & Natural Medicine

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