Literature DB >> 7657769

Oral misoprostol versus placebo for cervical dilatation before vacuum aspiration in first trimester pregnancy.

S W Ngai1, O S Tang, T Lao, P C Ho, H K Ma.   

Abstract

Intravaginal misoprostol has been shown to be effective for cervical priming before a surgically induced abortion. The objective was to investigate the effectiveness of oral misoprostol in cervical dilatation prior to vacuum aspiration between the 6th and 12th weeks of pregnancy. The results showed that in nulliparous patients, the median cervical dilatation in the treatment group (7.8 mm) was significantly greater than that in the placebo group (3.7 mm). In multiparous patients, the difference was also statistically significant (9.8 versus 6.0 mm). The ease of dilatation, assessed subjectively by the operating surgeons, was significantly improved in the treatment group. There was also a significant reduction in the duration of the operation and in the mean blood loss in the treatment group. The side-effects encountered in the treatment group were mild and well accepted by the women. Oral misoprostol is an effective and safe method for cervical dilatation prior to vacuum aspiration in first trimester pregnancy.

Entities:  

Keywords:  Abortion, Drug Induced; Abortion, Induced; Asia; Biology; Case Control Studies; Cervical Dilatation; Cervical Effects; Cervix; Clinical Research; Demographic Factors; Developing Countries; Eastern Asia; Endocrine System; Family Planning; Fertility; Fertility Control, Postconception; Fertility Measurements; Genitalia; Genitalia, Female; Hong Kong; Misoprostol; Parity; Physiology; Population; Population Dynamics; Prostaglandins; Prostaglandins, Synthetic; Research Methodology; Research Report; Studies; Treatment; Urogenital System; Uterus; Vacuum Aspiration

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Year:  1995        PMID: 7657769     DOI: 10.1093/oxfordjournals.humrep.a136122

Source DB:  PubMed          Journal:  Hum Reprod        ISSN: 0268-1161            Impact factor:   6.918


  5 in total

1.  Termination of pregnancy for fetal neurological abnormalities.

Authors:  Marc Dommergues
Journal:  Childs Nerv Syst       Date:  2003-08-14       Impact factor: 1.475

2.  Oral misoprostol is an effective and acceptable alternative to vaginal administration for cervical priming before first trimester pregnancy termination.

Authors:  Madhusudan Dey
Journal:  Med J Armed Forces India       Date:  2012-10-23

3.  Uses of misoprostol in obstetrics and gynecology.

Authors:  Rebecca Allen; Barbara M O'Brien
Journal:  Rev Obstet Gynecol       Date:  2009

4.  Role of sublingual misoprostol for cervical priming in first trimester medical termination of pregnancy.

Authors:  Megha Mathur; Jyotsna Rani
Journal:  J Clin Diagn Res       Date:  2014-08-20

5.  A randomized trial of vaginal misoprostol for cervical priming before hysteroscopy in postmenopausal women.

Authors:  Anita Kant; Usha Priyambada
Journal:  J Midlife Health       Date:  2011-01
  5 in total

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