Mid-trimester termination of pregnancy - a randomised controlled trial of two prostaglandin regimens

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dc.contributor.authorSteyn, D. W.en_ZA
dc.contributor.authorPienaar, M. P.en_ZA
dc.date.accessioned2011-03-18T14:59:33Z
dc.date.available2011-03-18T14:59:33Z
dc.date.issued1993
dc.descriptionCITATION: Steyn, D. W. & Pienaar, M. P. 1993. Mid-trimester termination of pregnancy - a randomised controlled trial of two prostaglandin regimens, South African Medical Journal, 83:737-738.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractObjective. To determine the more applicable of two ways of prostaglandin induction currently in use in second trimester induced abortions for congenital or chromosomal abnormalities. Design. A prospective randomised controlled trial. Setting. Department of Obstetrics and Gynaecology, Tygerberg Hospital, CP. Study population. Twenty consecutive patients admitted for termination of pregnancy for congenital or chromosomal abnormalities between 14 and 26 weeks' pregrancy duration. Management. Patients were randomly selected to receive either 1,5 mg prostaglandin E2 (PGE2) gel extra-amniotically or 25 mg prostaglandin F2α (PGF2α) intra-amniotically. Patients in both groups received oxytocin to a maximum dosage of 120 mU per minute if they had not aborted 18 hours after the original administration of either prostaglandin regimen. If abortion had not taken place 36 hours after commencement of treatment, management was considered unsuccessful. Main outcome measurements. Proportion of successful inductions and complications. Results. Complications of management were rare and did not differ between the two management groups. However, there were significantly more failures in the group who received intra-amniotic PGF2α (7 v. 2 patients) as well as a significantly higher need for oxytocin in this group (10 v. 4 patients). Conclusions. With promising drugs such as prostaglandin analogues and anti-progesterones not universally available, methods of induction suitable to the local situation should be sought. Extra-amniotic PGE2 seems more suitable than intra-amniotic PCF2α because of a shorter induction-to-delivery time without increased morbidity.
dc.description.urihttp://archive.samj.org.za/1993%20VOL%2083%20Jan-Dec/Articles/10%20OCTOBER/1.9%20MID-TRIMESTER%20TERMINATION%20OF%20PREGNANCY-%20A%20RANDOMISED%20CONTROLLED%20TRIAL%20OF%20TWO%20PROSTAGLANDIN%20RE.pdf
dc.description.versionPublisher’s version
dc.identifier.citationSteyn, D. W. & Pienaar, M. P. 1993. Mid-trimester termination of pregnancy - a randomised controlled trial of two prostaglandin regimens, South African Medical Journal, 83:737-738
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7894
dc.language.isoenen_ZA
dc.publisherHealth & Medical Publishing Group
dc.rights.holderSouth African Medical Journal
dc.subjectAbortion
dc.subjectProstaglandins
dc.titleMid-trimester termination of pregnancy - a randomised controlled trial of two prostaglandin regimensen_ZA
dc.typeArticle
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