Abstract
Combined use of intracervical foley catheter and vaginal misoprostol for termination of second trimester pregnancy: a three-year observational study
Highlights
Second trimester abortions constitute 10–15% of all induced abortions worldwide but are responsible for two-thirds of all major abortion-related complications [1]
The induction to abortion interval was 8.16 ± 1.52 hours in the combined group compared to 12.76 ± 1.63 hours in the misoprostol group (P value
The combination of intravaginal misoprostol and intracervical Foley catheter for second trimester pregnancy termination has been described in two previous studies with conflicting results [8,9]
Summary
Second trimester abortions constitute 10–15% of all induced abortions worldwide but are responsible for two-thirds of all major abortion-related complications [1]. The most efficacious regimen for medical second trimester termination of pregnancy appears to be the use of a combination of mifepristone, followed by misoprostol [3,4,5]. This regimen has had 97–99% rate of abortion within 24 hours [3,6]. The combination of intravaginal misoprostol and intracervical Foley catheter for second trimester pregnancy termination has been described in two previous studies with conflicting results [8,9]. The aim of this study was to assess the effectiveness, safety and acceptability of intracervical Foley catheter and vaginal misoprostol versus vaginal misoprostol for termination of second trimester pregnancy
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