Document Detail


Early midtrimester pregnancy termination. A comparison of dilatation and evacuation and intravaginal prostaglandin E2.
MedLine Citation:
PMID:  6956734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pregnancy termination by dilatation and evacuation (D&E) during the early midtrimester has been recommended as being more safe and acceptable than delaying for later induction with an intraamniotic instillation procedure. The availability of prostaglandin E2 (PGE2) for vaginal administration provides an alternative that is noninvasive and applicable in the early midtrimester without delay. This study compared the results of 400 consecutive abortions by D&E at 13 through 15 weeks' gestation to those previously obtained in 112 patients at the same period of gestation treated with PGE2 by serial vaginal administration. The PGE2 group experienced a complete abortion rate of 75%, a failure of 7.1% and a mean initiation-to-abortion time of 14.1 hours. Prostaglandin reactions, consisting of vomiting, diarrhea and transient temperature elevation, each occurred in about one-third of these patients. There were no failures in the D&E group and no increased risk of major complications. It is concluded that termination of pregnancy by D&E is preferable to the use of intravaginal PGE2, at least through the 15th week of gestation.
Authors:
J Robins; E J Surrago
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  27     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1982 Jul 
Date Detail:
Created Date:  1982-12-02     Completed Date:  1982-12-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  415-9     Citation Subset:  IM; J    
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced*
Dilatation and Curettage*
Dinoprostone
Female
Humans
Length of Stay
Pregnancy
Pregnancy Trimester, Second*
Prostaglandins E / administration & dosage,  therapeutic use*
Suppositories
Vacuum Curettage*
Vagina
Chemical
Reg. No./Substance:
0/Prostaglandins E; 0/Suppositories; 363-24-6/Dinoprostone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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