Uterine curettage following second trimester abortion by extraovular instillation of prostaglandin E 2: A prospective-randomized trial

Jack Atad, Mordechai Hallak, Oren Fruchter, David Yshai, Ron Auslender, Haim Abramovici

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To evaluate the benefits associated with routine uterine curettage following complete second trimester termination of pregnancy by extraovular prostaglandin E 2 . Study design: Fifty-five patients between 15 and 24 weeks' gestation who had undergone complete termination of pregnancy by continuous extraovular instillation of prostaglandin E 2 (PGE 2 ), were randomly assigned into either no further intervention (n=25), or uterine curettage under general anesthesia (n=30). The need for late uterine curettage, clinical and ultrasonographic parameters at 1 and 42 days follow-up, as well as the incidence of the minor and major complications, were compared between groups. Results: Baseline and post-abortion clinical and ultrasonographic characteristics were similar in both groups. Mean (± Standard error of the mean) number of post-abortion bleeding days in the curettage group was 8.9±1.8 versus 10.1±2.6 days in the non-curettage group (P=NS). No patient in the former group, compared to three patients in the latter group, needed late uterine curettage, (P=NS). Major and minor complications rates in the curettage and in the no-curettage groups were not significantly different. Considerably more patients in the curettage group needed analgesic agents following the abortion compared to the no-curettage group (60% vs. 3.3%, respectively; P<0.001). Conclusions: Routine uterine curettage in patients undergoing complete second trimester termination of pregnancy by extraovular instillation of PGE 2, exerts no benefit. Copyright (C) 1999 Elsevier Science Ireland Ltd.

Original languageEnglish
Pages (from-to)147-150
Number of pages4
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume85
Issue number2
DOIs
StatePublished - Aug 1999
Externally publishedYes

Keywords

  • Abortion
  • Dilation and curettage
  • Induced
  • Prostaglandin

Fingerprint

Dive into the research topics of 'Uterine curettage following second trimester abortion by extraovular instillation of prostaglandin E 2: A prospective-randomized trial'. Together they form a unique fingerprint.

Cite this