AI Article Synopsis
- The study aimed to assess the safety and effectiveness of using misoprostol and a Foley catheter for terminating pregnancies in the second trimester among women with varying histories of cesarean sections.
- 337 women, divided into three groups based on their cesarean history, were monitored for outcomes such as the time to abortion and rates of complications.
- Results showed no significant differences in outcomes among the groups, and there were no major complications reported, indicating the method is safe for all patients regardless of cesarean history.
Article Abstract
Purpose: The aim of this study is to evaluate the effectiveness and safety of misoprostol and Foley catheter in second trimester termination in women with and without caesarean section (CS) scars.
Materials And Methods: Women with an indication for pregnancy termination between 14 and 22 completed weeks of gestation were included to the study. Enrolled women were allocated into three groups: (1) women with no history of CS, (2) women with one CS and (3) women with ≥2 CS. Study consisted 337 patients (233 group 1, 88 group 2 and 16 group 3). Misoprostol and Foley catheter were used sequentially. The primary outcome was the induction to abortion interval. Secondary outcomes were the successful vaginal abortion rate, the percentage of abortions in 24 h and the rates of surgical removal of the placenta, Foley catheter use and major maternal complications (transfusions, thromboembolic events, uterine rupture and death).
Results: Demographic characteristics were comparable. All study outcomes were statistically similar among groups. There was no major maternal complication among all patients.
Conclusions: Sequential use of misoprostol and Foley catheter is safe and effective in second trimester pregnancy termination for patients with and without CS scars.
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| http://dx.doi.org/10.1080/14767058.2017.1293037 | DOI Listing |
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Article Synopsis
- This study challenges the effectiveness of silver-coated catheters in preventing urinary tract infections (UTIs) after pelvic floor surgery (PFS).
- The aim was to compare the incidence of UTIs in women using silver-coated versus standard silicone catheters following surgery for urinary retention.
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