Rupture of the cervix during prostaglandin termination of pregnancy

El-Etriby, E. K.; E, Daw

doi:10.1136/pgmj.57.666.265

Cited by 12 publications

(2 citation statements)

References 11 publications

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“…Cervicovaginal fistula represents a complication of induced midtrimester termination of pregnancy, observed in the past to follow intraamniotic hypertonic saline injections and the use of prostaglandin F2‐α . It is also a known complication of cervical cerclage .…”

Section: Discussionmentioning

confidence: 99%

“…Vaginal misoprostol can also decrease the macrophage function resulting in the overgrowth of clostridial organisms and developmental gangrene of gastrointestinal and reproductive tracts . However, cervical lesions after prostaglandin application were more often reported in midtrimester abortions as highlighted before . Generally, the drug allows appropriate cervical modification and fetal passage through the low‐resistant cervical canal .…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous delivery through a cervical tear without cervical os dilatation

Djokovic

Costa

Martins

et al. 2014

Clinical Case Reports

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Key Clinical MessageSpontaneous delivery through a cervical tear, provoked by prostaglandin-induced uterine contractions, was described in a G2P0 woman with a history of cervical dilatation and uterine curettage. This rare complication with potentially serious maternal–fetal consequences can be predicted by an aberrant cervical response to prostaglandins in parturients with previous cervical interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spontaneous delivery through a cervical tear without cervical os dilatation

Djokovic

Costa

Martins

et al. 2014

Clinical Case Reports

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Cervical ripening and induction of labor by intracervical and extra-amniotic prostaglandin gel application in cases of intrauterine fetal death

Rath

Kuhn

1985

International Journal of Gynecology & Obstetrics

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In 42 patients with intrauterine fetal death between the 29th and 43rd week of gestation, a standard, 2-step procedure was employed to deliver the dead fetus. After priming with an intracervical application of PGF2 alpha- or PGE2-gel, labor was induced by extra-amniotic prostaglandin (PG) gel or oxytocin infusion while under epidural anesthesia. Intracervical PG application led to a significant improvement in the modified Bishop score from 1.3 to 7.6 after a mean of 8 h. In 20 patients labor and progressive dilatation of the cervix occurred after intracervical PG gel application alone. The average total therapy time was 18.1 h in patients treated with PGF2 alpha and 13.7 h in the PGE2-treated group. The average induction of labor to delivery intervals were 8.8 h in the PGF2 alpha- and 7.1 h in the PGE2-group. Gastrointestinal side effects were observed in only 5 patients. The combination of cervical ripening with intracervical PG gel application and induction of labor by extra-amniotic PG gel under epidural anesthesia is an efficient and safe method for treatment of intrauterine fetal death.

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