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Single versus multiple cervical dilation by osmotic dilator before induction of labor for second‐trimester abortion
- Source :
- Journal of Obstetrics and Gynaecology Research. 45:961-966
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- In this study, we aimed to investigate whether there was a significant prognostic difference between single and multiple cervical dilations when inducing second-trimester abortion.We conducted a retrospective review of 238 pregnant women who underwent termination of pregnancy at 12-21 weeks of gestation at Osaka University Hospital in Osaka, Japan, between January 2010 and May 2018. Termination of pregnancy was performed by vaginal administration of 1 mg gemeprost every 3 h for up to five doses per day after uterine cervical dilation using lamicel.The women were categorized into two groups: 191 women had a delivery time of24 h, whereas 47 had delivery times24 h. Contrasting the groups, there were significant differences with regard to numbers of primiparas (88 [46.1%] and 32 [68.1%], respectively) and lamicel exchanges ± SD (1.9 ± 0.67 for24 h and 2.4 ± 0.87 for24 h, respectively). Additionally, we compared the prognosis of primiparas that received just a single lamicel with that of primiparas that had ≥2 exchanged, but no significant differences were noted in the number of patients with a delivery time of24 h and the number of used gemeprost.Primipara is a risk factor for delayed delivery time of induced abortion. However, increasing the number of exchanged lamicel did not significantly reduce the delivery time; therefore, it should be performed as minimally as possible.
- Subjects :
- Adult
Osmosis
medicine.medical_specialty
Time Factors
Cervical dilation
Biocompatible Materials
Cervix Uteri
Abortion
Magnesium Sulfate
03 medical and health sciences
0302 clinical medicine
Pregnancy
Gemeprost
Outcome Assessment, Health Care
medicine
Humans
Alprostadil
Risk factor
Retrospective Studies
Abortifacient Agents, Nonsteroidal
030219 obstetrics & reproductive medicine
Obstetrics
business.industry
Obstetrics and Gynecology
Abortion, Induced
Induction of labor
medicine.disease
Dilatation
Parity
Polyvinyl Alcohol
Pregnancy Trimester, Second
030220 oncology & carcinogenesis
Dilator
Gestation
Female
business
medicine.drug
Subjects
Details
- ISSN :
- 14470756 and 13418076
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Journal of Obstetrics and Gynaecology Research
- Accession number :
- edsair.doi.dedup.....b6d26c6ac4c3be5960fa22b752e151c3