Authors: Monika Sharma
Publish Date: 2011/10/29
Volume: 61, Issue: 5, Pages: 531-533
Abstract
During the study period of January2006–June 2007 two hundred twentyone pregnant women wanting first trimester pregnancy termination were randomised into two groups In the study group of one hundred twentyone women sublingual misoprostol was used 3 h prior to suction evacuation In the control group of hundred women direct suction evacuation was used In cervical dilatation achieved by misoprostol time required for suction evacuation blood loss pain perceived by patient and complications that occurred in the two groups were compared by STATA 9 stastistical softwareIn the study group mean cervical dilatation was up to 561 with Hegar dilator and in control group it was 503 P = 0004 Average time required for suction evacuation was 728 min in study group and 873 min in control group P 00001 Blood loss was less in study group as compared to those in the controls In study group only 1074 women perceived pain compared to twenty percent women in control groupUse of sublingual misoprost prior to first trimester pregnancy termination by suction evacuation ripens the cervix so there is less need for cervical dilatation pain perceived by patient is less the time required for suction evacuation is less and there is reduction in blood loss Sublingual misoprostol is effective and safe for cervical ripening and dilatation before suction evacuation
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