Comparative Study of Cerviprime Gel V/S Intra Vaginal Misoprostol For Second Trimester Abortions
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Background : The aim of present study was to compare the efficacy and safety of cerviprime gel which is used intracervically/ extra-ovular space with intra vaginal misoprostol 200mcg for second trimester pregnancy termination. It was done on 100 antenatal pregnant women who attended A.N. OPD / ward in Government General Hospital, Guntur seeking second trimester MTP for various reasons. Materials and methods: Group A (50 cases) cerviprime gel was instilled intracervically followed by oxytocin drip 12hrs later if no contractions , Group B (50 cases) intravaginal misoprostol 200µg kept P/V every 6 hourly. Results: The mean induction-abortion interval noted was 23.77 hours in (group A), 16.54 hours in (group B). Complications like vomiting, diarrhea, fever, infection, uterine pain, retained placenta were slightly more in group A when compared to group B. Failures - group A- 9 cases were failed to abort while in group B- 3 cases. Group A- 6 cases were aborted with Tab. Misoprostol 200µg every 6 hours for 2 doses and 3 cases reinstallation of cerviprime gel. In Group B-1 were aborted with oxytocin infusion and 2 cases were aborted with installation of cerviprime gel. Conclusion: Intravaginal misoprsotol 200µg, 6 hourly P/V is more effective and cheap when compared to cerviprime gel
Authors and Affiliations
Dr. Eda. Indira, Dr. R. Rama, Dr. B. Srinivas Rao
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