Application of Cervical Dinoprostone gel before vaginal application of misoprostol for termination of pregnancy in Intra Uterine Death of Foetus from 18 to 26 weeks of gestation.

Dr Prasanta Kumar Deka

Volume : VIII, Issue : IX, September - 2018

Application of Cervical Dinoprostone gel before vaginal application of misoprostol for termination of pregnancy in Intra Uterine Death of Foetus from 18 to 26 weeks of gestation.

Dr Prasanta Kumar Deka

Abstract :

Intra uterine death is a common complication of pregnancy. The frequency of intrauterine death with retained foetus varies but it estimated to occur in 1% of all pregnancy.¹Induction by different pharmacological methods tried with varied success. The dose also varies according to period of gestation. We studied Forty cases of IUD between 18 to 26 weeks of gestation with dionoprston gel plus and misoprostol tablet versus misoprostol tablet alone in Gujarat Adani Institute of Medical Science and Research (GAIMS) from 1^st August 2016 to 31^st July 2017 . We studied following factors–

1) Success Rate

2) Induction –delivery interval

3) Number of doses required, their cost effectiveness

4) Maternal complications

The forty patients were divided into two groups of twenty each, that is group A and group B. Comparison was done keeping the above parameter in mind and data was analysed. Pre application with Dianoprostone gel before application of misoprostol tablet is found to be superior to only misoprostol vaginal application.