Cervical priming prior to dilatation and evacuation: A comparison of methods

Lauersen, Niels H.; Den, Tiberius; Iliescu, Constantine; Wilson, Kristin; Graves, ZoëR.

doi:10.1016/0002-9378(82)90179-x

Cited by 22 publications

(2 citation statements)

References 8 publications

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“…Its superiority lies in its effectiveness, low costs, and convenience of use with multiple routes of administration. The major disadvantage of misoprostol is its adverse effects, such as nausea, vomiting, and abdominal pain [ 82 , 83 ]. On the other hand, osmotic dilators are well-known cervical ripening agents with high efficiency and a small percentage of adverse effects.…”

Section: Surgical Abortionmentioning

confidence: 99%

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

Socha¹,

Flis²,

Wartęga

et al. 2023

Med Sci Monit

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Cervical ripening is defined as the significant softening of the cervical tissue that usually begins before the onset of contractions during labor, and is required for cervical dilation and delivery. Osmotic dilators are medical implements that dilate the uterine cervix by increasing in size as they absorb fluid from the surrounding tissue. This article aims to review the mechanisms and applications of osmotic dilators for cervical ripening in the induction of labor and in gynecology procedures.

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Section: Surgical Abortionmentioning

confidence: 99%

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

Socha¹,

Flis²,

Wartęga

et al. 2023

Med Sci Monit

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“…Like in labour, during the second trimester abortion, the cervix has to be effaced, softened and dilated prior to expulsion of the fetus. Lauersen et al (1) used laminaria tent and several analogues of prostaglandins for cervical priming prior to induced abortion.…”

Section: Introductionmentioning

confidence: 99%

ADJUNCTIVE USE OF LAMINARIA TENT WITH INTRAMUSCULAR 15(S)15 METHYL PGF_2α FOR INDUCTION OF SECOND TRIMESTER ABORTION

Bhatt¹,

Devi²,

Dhar³

et al. 1988

Acta Obstet Gynecol Scand

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The adjunctive use of laminaria tent along with intramuscular 15(S)15 methyl PGF2α (Prostin 15M, Upjohn) was studied for induction of second trimester abortion. Three hundred and two patients from eight centres were recruited for the study. Ninety‐two were primigravidae and 210 were multigravidae. One to three laminaria tents were inserted overnight and they were removed before the start of treatment with 250 µg Prostin 15M administered intramuscularly every two hours till abortion. Of primigravida 81.5% and of the multigravidae 79.5% aborted within 24 hours of treatment. The induction abortion interval in the primigravida was 11.2 hours and in multigravidae it was 12.0 hours. The overall incomplete abortion rate was 31.0%. The pimigravidae had higher mean number of episodes of vomiting (2.5) and diarrhea (2.9) than the multigravidae (1.7 and 1.5, respectively). No other complications or injuries to genital tract were reported.

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Cervical preparation for second trimester dilation and evacuation

Newmann

Dalve‐Endres

Diedrich

et al. 2010

Cochrane Database of Systematic Reviews

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Cervical preparation with osmotic dilators and/or misoprostol before second-trimester D&E is safe and effective. Osmotic dilators appear to provide superior cervical dilation when compared to prostaglandins alone or when combined with prostaglandins, however this difference in cervical dilation does not appear to result in differences in procedure time or complication rates. There does not appear to be clear clinical benefit from two days of cervical preparation compared to one-day prior to second-trimester D&E below 19 weeks gestational duration. Mifepristone plus misoprostol was associated with high rates of pre-procedural expulsions and does not appear to be a useful method of cervical preparation before second-trimester dilation and evacuation. Same-day procedures appear to be a safe and reasonable option in the early second trimester, however, more research is needed to assess the effectiveness and safety of same-day procedures in the later second trimester.

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Cervical priming prior to dilatation and evacuation: A comparison of methods

Cited by 22 publications

References 8 publications

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

ADJUNCTIVE USE OF LAMINARIA TENT WITH INTRAMUSCULAR 15(S)15 METHYL PGF_2α FOR INDUCTION OF SECOND TRIMESTER ABORTION

Cervical preparation for second trimester dilation and evacuation

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Cervical priming prior to dilatation and evacuation: A comparison of methods

Cited by 22 publications

References 8 publications

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

ADJUNCTIVE USE OF LAMINARIA TENT WITH INTRAMUSCULAR 15(S)15 METHYL PGF2α FOR INDUCTION OF SECOND TRIMESTER ABORTION

Cervical preparation for second trimester dilation and evacuation

Contact Info

Product

Resources

About

ADJUNCTIVE USE OF LAMINARIA TENT WITH INTRAMUSCULAR 15(S)15 METHYL PGF_2α FOR INDUCTION OF SECOND TRIMESTER ABORTION