Abstract
To evaluate the efficacy and safety of Foley`s bulb along with Misoprostol in the management of second trimester abortion with special emphasis on cervical injury, a study was done on fifty six women who came for termination of pregnancy between 14 and 20 weeks of gestational age. Inflated Foley`s bulb with traction pressure over internal cervical os and Misoprostol 400 mcg vaginally every four hours is the method adopted. Induction abortion interval, doses used, additional techniques adopted, side effects, complications encountered were recorded. 100 percent success rate with minimal side effects, no major complications, no cervical damage was observed. The findings are compared with the similar studies from literature
Keywords: Mid trimester abortion, Misoprostol, Foley`s catheter, Cervical injury.
References
1. Fox MC, Hayes JL Cervical preparation for second-trimester surgical abortion prior to 20 weeks of gestation. Contraception. 2007 Dec;76(6):486-495.
2. Obed JY, Adewole IF. The unfavourable cervix: improving the Bishop score with the Foley’s catheter. EstAfr Med 1994; 209–12
3. Sciscione A, Molly L, O’Shea A, et al: Preinduction cervical ripening with the Foley catheter and the risk of subsequent preterm birth. Am J ObstetGynecol 2004; 190(3):751–754.
4. Shabana A, Salah H, Kandil M et al . (2012) Termination of mid-trimester preg-nancies: misoprostol versus concurrent weighted Foley catheter and misoprostol F1000 Research 1-36
5. Ansa Islam, Aziz un NisaAbbasi*, IramSarwarUse of foley’s catheter and prostaglandin f-2 alpha in second trimester termination of pregnancy; J Ayub Med Coll Abbottabad 2006;18(3).
6. Mohamed Abd-Allah Rezk, Zakaria Sanad, Ragab Dawood, Mohamed Emarh & Alaa Masood. Comparison of intravaginal misoprostol and intracervical Foley catheter alone or in combination for termination of second trimester pregnancy: The Journal of Maternal-Fetal& Neonatal Medicine Volume 28, Issue 1, 2015 pages 93-96.
Corresponding Author
Dr Alla Satyanarayana Reddy, MD DGO FICMCH
Professor and HOD, Department of Obstetrics and Gynaecology,
Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry, INDIA