The use of an osmotic dilator for induction of miscarriage in patients with the second trimester missed miscarriage.
| Autor: | Barinov SV; 2nd Department of Obstetrics and Gynecology, Omsk State Medical University, Omsk, Russia., Tirskaya YI; 2nd Department of Obstetrics and Gynecology, Omsk State Medical University, Omsk, Russia., Shamina IV; 2nd Department of Obstetrics and Gynecology, Omsk State Medical University, Omsk, Russia., Medyannikova IV; 2nd Department of Obstetrics and Gynecology, Omsk State Medical University, Omsk, Russia., Kadcyna TV; 2nd Department of Obstetrics and Gynecology, Omsk State Medical University, Omsk, Russia., Shkabarnya LL; Regional Tertiary Perinatal Center, Omsk Regional Clinical Hospital, Omsk, Russia., Lazareva OV; 2nd Department of Obstetrics and Gynecology, Omsk State Medical University, Omsk, Russia. |
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| Jazyk: | angličtina |
| Zdroj: | The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2021 Sep; Vol. 34 (17), pp. 2778-2782. Date of Electronic Publication: 2019 Oct 01. |
| DOI: | 10.1080/14767058.2019.1671331 |
| Abstrakt: | Aim: The aim of this study was to assess the outcomes of combined use of dilapan-S and pharmacological induction of miscarriage with mifepristone and misoprostol versus mifepristone and misoprostol only in patients with a second-trimester pregnancy loss. Materials and Methods: Our study included 74 patients with a second-trimester antenatal death who were randomized into two groups to receive pharmacological induction of miscarriage combined with intracervical insertion of dilapan-S ( n = 37) or pharmacological induction of miscarriage only ( n = 37). Efficacy endpoints included: blood loss volume, length of time between the procedure initiation and complete miscarriage, and the number of complications. Results: The use of dilapan-S together with mifepristone and misoprostol for induction of miscarriage in the second trimester in women with antenatal fetal death reduced the time from the start of the procedure to complete miscarriage by 1.98-fold. However, the use of dilapan-S did not significantly reduce the odds of such post-procedural complications as hematometra and retention of the products of conception in the uterus ( p = .2501). Conclusions: Combined management of antenatal pregnancy loss in the second trimester including intracervical insertion of dilapan-S and conventional induction with miscarriage may be considered a valuable clinical strategy. However, future studies should focus on ways to prevent postprocedural complications in this group of women. |
| Databáze: | MEDLINE |
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