Audit of the effectiveness of cervical preparation with Dilapan prior to late second‐trimester (20–24 weeks) surgical termination of pregnancy

Abstract

The aim of this audit was to evaluate the efficacy of cervical preparation with Dilapan dilators prior to late second-trimester surgical termination of pregnancy. The first audit cycle showed that after cervical preparation consisting of one or two Dilapan dilators, with or without misoprostol, on the day before or the day of the procedure, there were nine cases of cervical and uterine damage. The second audit cycle showed that cervical preparation, which consisted of two or three Dilapan dilators, on the day before the procedure improves cervical preparation and reduces the risk of damage to the uterus and cervix.

Audit of short term outcomes of surgical and medical second trimester termination of pregnancy

“…Dilapan rods are hydrophilic polymer rods which work by absorbing fluid and slowly expanding, therefore causing cervical dilatation [4]. …”

Interruptions médicales de grossesse et morts fœtales in utero après 14 semaines d’aménorrhée : quel protocole de déclenchement en 2010 ? Revue de la littérature

“…Les principaux risques liés à leur utilisation sont les faux trajets cervicaux, les perforations utérines, les migrations dans la cavité, les infections [10]. Mais il n'y a pas d'augmentation de la morbidité infectieuse maternelle selon l'équipe de Heineman et al [11].…”

Accouchement avec utérus cicatriciel

“…On regrette l'absence d'évaluation dans la littérature des Dilapan ® dans cette indication en regard aux résultats encourageant dans d'autres indications [49,50].…”