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The Use of 16.16‐dimethyl‐PGEl‐ A‐methyl ester (Cervagem) Vaginal Pessaries for Cervical Dilatation Prior to Evacuation for Second Trimester Termination
Author(s) -
Bennett M. J.,
.Horrowitz S. D.,
Wass D. M.
Publication year - 1991
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1991.tb02763.x
Subject(s) - pessary , medicine , concomitant , cervical dilatation , vagina , second trimester , ultrasound , transvaginal ultrasound , surgery , pregnancy , cervix , gestation , radiology , cancer , biology , genetics
Summary: The results of a study of 101 consecutive second trimester terminations by Dilatation and Evacuation (D & E) under ultrasound control is presented. All had a Cervagem pessary inserted into the vagina prior to the procedure. The PGE1 analogue was assessed as ‘effective’ in 97% of patients. Concomitant ultrasound resulted in no patient leaving the operating table with retained products. The high efficacy of the single pessary associated with a low incidence of side‐effects makes this combination the method of choice for nearly all second trimester terminations.