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Preoperative Administration of Prostaglandin to Avoid Dilatation-Induced Damage in First-Trimester Pregnancy Terminations

 

作者: S. Heinzl,   J. Andor,  

 

期刊: Gynecologic and Obstetric Investigation  (Karger Available online 1981)
卷期: Volume 12, issue 1  

页码: 29-36

 

ISSN:0378-7346

 

年代: 1981

 

DOI:10.1159/000299565

 

出版商: S. Karger AG

 

关键词: First trimester abortion;Prostaglandin dilatation;Cervix;Suction curettage;Priming;Ripening

 

数据来源: Karger

 

摘要:

A prospective, randomized, controlled study was carried out to investigate the dilating and softening effect on the cervix of prostaglandin F2-alpha gel administered intracervically and of prostaglandin E2 tablets administered orally. A total of 581 patients were included in the study: 149 received 2.5 mg prostaglandin F2-alpha in gel form intracervically, 150 received 1 mg prostaglandin E2 in tablet form orally, 138 were given placebo gel and 144 no medication at all. In the groupgiven prostaglandin F2-alphagelintracervically, success was achieved in 85.8% of patients and partial success in 8.8%. In the group given prostaglandin E2 tablets orally, the results were successful in 29.4% and partially successful in 40.6%. The incidence of side effects in the group given prostaglandin F2-alpha gel was rather high – 53%. The results show that prostaglandin can bring about a certain softening of the cervix, but side effects cannot be ruled out. Nevertheless, priming of the cervix is to be recommended in young primigravidas.

 

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