Role of Intramuscular Injection of Prostodin in Cervical Priming in Cases of First Trimester Abortion Aggarwal Rajni1, Verma Kalpana2 1Professor, Department of OBS & Gynae, SIMS, Hapur 2Associate Professor, Department of OBS & Gynae, SIMS, Hapur Online published on 18 July, 2017. Abstract Suction evacuation is widely used method for MTP in first trimester. Mechanical cervical dilatation during this procedure is probably the most critical step. Difficult cervical dilatation causes incomplete evacuation, cervical laceration and uterine perforation. Prior cervical priming with pharmacological agents like prostaglandins, makes the procedure easier with reduced complication rate. Aim The purpose of present study is to evaluate the efficacy of intramuscular injection of prostodin on cervical priming prior to mechanical dilatation in first trimester abortion. Material and Method A Prospective study using intramuscular injection of prostodin which was administered to 100 patients and compared with 100 patients in which no injection was given prior to suction evacuation. Result and Discussion Most of the cases were in between 21 and 30 years of age (84% in both the groups). Maximum number of cases belonged to 2and 3order parity, i.e. 75% and 70% for study and control group respectively. 50% and 56% cases were of 6 to 8 weeks of gestation in study and control group respectively. Socioeconomic reason was main indication for MTP in both the study and control group (72% and 60% respectively). Mean cervical dilation was significantly more in study group (7.9mm) in comparison to control group (2.3 mm). In 84% of study group cases only mild resistance was noticed. In control group 64% cases revealed severe resistance. Blood loss was minimal (<80 ml in 80%) in comparison to control group (80–120 ml in 64% cases). Most of the cases in the study group required less than 10 minutes for operation (94%). Postoperative complications were minimal in study group Conclusion The procedure of MTP can be made easy and more effective by preoperative intramuscular injection of prostodin as it causes easy and complete cervical dilatation with reduced duration of operation and minimal blood loss. Top Keywords Prostodin, MTP, misoprostol, cervical dilatation. Top |