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The Use of 16.16‐dimethyl‐PGEl‐ A‐methyl ester (Cervagem) Vaginal Pessaries for Cervical Dilatation Prior to Evacuation for Second Trimester Termination

1991; Wiley; Volume: 31; Issue: 1 Linguagem: Inglês

10.1111/j.1479-828x.1991.tb02763.x

1479-828X

Mark J. Bennett, Stephen D. Horrowitz, Debbie Wass,

Assisted Reproductive Technology and Twin Pregnancy

Summary: The results of a study of 101 consecutive second trimester terminations by Dilatation and Evacuation (D & E) under ultrasound control is presented. All had a Cervagem pessary inserted into the vagina prior to the procedure. The PGE1 analogue was assessed as ‘effective’ in 97% of patients. Concomitant ultrasound resulted in no patient leaving the operating table with retained products. The high efficacy of the single pessary associated with a low incidence of side‐effects makes this combination the method of choice for nearly all second trimester terminations.