Buccal misoprostol for cervical ripening prior to first trimester abortion

Contraception
Hemang B PanchalAshlesha Patel

Abstract

Cervical priming prior to uterine suction evacuation softens the cervix and lessens the force needed for dilation, thereby potentially reducing the probability of procedural complications. The use of buccal misoprostol has been shown to be an adequate cervical primer in second trimester surgical procedures, but its use in first trimester aspiration procedures is not well documented. Our objective was to assess the necessity of manual dilation of the cervix when buccal misoprostol is used for cervical priming prior to first trimester uterine aspiration procedures. Retrospective case review of 685 patients who underwent a first trimester aspiration abortion with buccal misoprostol cervical priming from August 24, 2006, to February 23, 2007. All procedures were performed by three experienced physicians. Adequate dilatation of the cervix was achieved in 44.2% patients. The proportion of patients with adequate dilation decreased with increasing gestational age. Patients requiring additional mechanical dilatation differed significantly between those who were parous (51.0%) and those who were nulliparous (72.4%) (p<.001). Buccal misoprostol appeared to decrease our need for manual dilation prior to first trimester aspiration abortion....Continue Reading

References

Apr 27, 1984·JAMA : the Journal of the American Medical Association·D A GrimesW J Cates
Jan 1, 1996·Acta Obstetricia Et Gynecologica Scandinavica·C FiçicioğluS Taşdemir
Feb 1, 2002·Human Reproduction·Oi Shan TangPak Chung Ho
Jan 11, 2003·Contraception·M A KuyohM F Gallo
Feb 20, 2003·American Journal of Obstetrics and Gynecology·Patrick S RamseyKirk D Ramin
Dec 23, 2003·Human Reproduction·A AronssonK Gemzell-Danielsson
Mar 15, 2006·Contraception·Ashlesha PatelUNKNOWN Planned Parenthood Federation of America Buccal Misoprostol Waiver Group
Sep 2, 2006·Obstetrics and Gynecology·Karen R MeckstrothPhilip D Darney
Jul 28, 2007·Contraception·Rebecca H AllenUNKNOWN Board of Society of Family Planning
Oct 27, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·C FialaH von Hertzen
May 10, 2008·BMJ : British Medical Journal·Staffan Bergström, Annette Aronsson

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Citations

Sep 16, 2003·Best Practice & Research. Clinical Obstetrics & Gynaecology·Karen R Meckstroth, Philip D Darney
Dec 20, 2015·Contraception·Rebecca H Allen, Alisa B Goldberg
Jun 24, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jessica L MorrisGerard H A Visser

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