Cervagem®/dilapan® for preoperative cervical dilatation prior to vacuum aspiration for termination of first trimester pregnancy

Jürgensen, Urban; Christensen, Niels Juel

doi:10.1016/0010-7824(89)90076-0

Cited by 6 publications

(2 citation statements)

References 6 publications

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“…The data of this preliminary study demonstrate that hypan produces better cervical preparation than gemeprost when used prior to second trimester dilatation and evacuation. This finding is in accordance with data from randomised studies comparing these two methods of cervical preparation prior to first trimester termination of pregnancy by vacuum aspiration (Darney & Dorward 1987; Jurgensen et al 1989). Although several factors control the response of the cervix to enforced dilatation, such as parity and gestational age, these factors did not differ significantly between the two groups.…”

Section: Discussionsupporting

confidence: 89%

Randomised trial of hypan versus gemeprost in cervical preparation prior to second trimester termination of pregnancy

Zamblera

Thilaganathan

Parsons

1994

BJOG

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Section: Discussionsupporting

confidence: 89%

Randomised trial of hypan versus gemeprost in cervical preparation prior to second trimester termination of pregnancy

Zamblera

Thilaganathan

Parsons

1994

BJOG

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“…However, it is not licensed for this indication. Other treatments that promote cervical dilatation prior to vacuum aspiration include oral mifepristone (200-600mg) given by mouth 36-48 hours before the termination21 , 22 or insertion, 3-4 hours before the termination, of an intra-cervical tent such as laminaria23 , 24 or Dilapan 25. The latter comprise a short narrow rod of material that expands as moisture is absorbed.…”

Section: Termination At 9-13 Weeksmentioning

confidence: 99%

Termination of first trimester pregnancy

1998

DTB

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Cervical preparation for first trimester surgical abortion

Kapp

Lohr²,

Ngô

et al. 2010

Cochrane Database of Systematic Reviews

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Background Preparing the cervix prior to surgical abortion is intended to make the procedure both easier and safer. Options for cervical preparation include osmotic dilators and pharmacologic agents. Many formulations and regimens are available, and recommendations from professional organizations vary for the use of preparatory techniques in women of different ages, parity or gestational age of the pregnancy. Objectives To determine whether cervical preparation is necessary in the first trimester, and if so, which preparatory agent is preferred. Search methods We searched Cochrane, Popline, Embase, Medline and Lilacs databases for randomised controlled trials investigating the use of cervical preparatory techniques prior to first trimester surgical abortion. In addition, we hand-searched key references and contacted authors to locate unpublished studies or studies not identified in the database searches. Selection criteria Randomised controlled trials investigating any pharmacologic or mechanical method of cervical preparation, with the exception of nitric oxide donors (the subject of another Cochrane review), administered prior to first trimester surgical abortion were included. Outcome measures must have included the amount of cervical dilation achieved, the procedure duration or difficulty, side-effects, patient satisfaction or adverse events to be included in this review. Data collection and analysis Trials under consideration were evaluated by considering whether inclusion criteria were met as well as methodologic quality. Fiftyone studies were included, resulting in 24 different cervical preparation comparisons. Results are reported as odds ratios (OR) for dichotomous outcomes and weighted mean differences for continuous data.

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Cervagem®/dilapan® for preoperative cervical dilatation prior to vacuum aspiration for termination of first trimester pregnancy

Cited by 6 publications

References 6 publications

Randomised trial of hypan versus gemeprost in cervical preparation prior to second trimester termination of pregnancy

Randomised trial of hypan versus gemeprost in cervical preparation prior to second trimester termination of pregnancy

Termination of first trimester pregnancy

Cervical preparation for first trimester surgical abortion

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