Misoprostol as aid in First Trimester MTP |
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Authors: | Shakti Vardhan RC Behera GS Sandhu BK Goyal |
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Affiliation: | *Associate Professor (Obstetrics and Gynaecology), AFMC, Pune-40;#Associate Professor (Obstetrics and Gynaecology), AFMC, Pune-40;+Ex-Commandant, 167 MH;**Classified Specialist (Obstetrics and Gynaecology), AH, (R&R), Delhi |
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Abstract: | BackgroundMedical Termination of Pregnancy (MTP) is a commonly performed during the first trimester. Dilatation and Evacuation (D & E) mandates rapid dilatation of cervix with metal dilators, which requires anaesthesia and may be associated with trauma to the uterus, cervix and later cervical incompetence. The problem of rapid cervical dilatation is obviated with intravaginal misoprostol.MethodsIntravaginal misoprostol tablet 200 microgram was inserted, a night prior to MTP to ripen the cervix. Cervix was dilated with metal dilators only in cases where cervix did not loosen up sufficiently. Products of conception were removed by suction.ResultsOut of 108 cases cervical dilatation was not required in 96 cases (88.9%).ConclusionIntravaginal misoprostol 200 microgram proved effective as a priming agent prior to MTP in the first trimester.Key Words: Misoprostol, MTP |
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Keywords: | Misoprostol MTP |
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