Midtrimester dilation and evacuation versus prostaglandin induction: a comparison of composite outcomes - 01/10/11
, Kevin Trinchere, Wendy Prutsman, MSN CRNP, Joanne N. Quiñones, MD, MSCE, Meredith L. Rochon, MD
Reprints: Kari Whitley, MD, 17th and Chew, Allentown, PA 18103Résumé |
Objective |
The objective of the study was to determine the optimal procedure for midtrimester uterine evacuation.
Study Design |
This was a retrospective cohort study of women undergoing midtrimester uterine evacuation by prostaglandin induction or dilation and evacuation (D&E). Primary outcome was composite complication, defined as any of the following: infection, need for additional surgery, unexpected admission or readmission, serious maternal morbidity, and/or maternal death.
Results |
Two hundred twenty patients met inclusion criteria: 94 D&E and 126 induction. D&E was associated with less composite complications (15% vs 28%, P = .02), which persisted in adjusted analysis (adjusted odds ratio, 0.38; 95% confidence interval, 0.15–0.99; P = .05). Women in the induction group had higher rates of retained placenta requiring curettage (22% vs 2%, P = .01), whereas cervical injury was more common in the D&E group (5% vs 0%, P = .01). Median length of stay was significantly shorter in the D&E group (5.7 hours vs 28.4 hours, P < .001).
Conclusion |
Midtrimester D&E is associated with fewer complications than prostaglandin induction.
Le texte complet de cet article est disponible en PDF.Key words : dilation and evacuation, midtrimester uterine evacuation, prostaglandin induction, second-trimester abortion
Plan
| The authors report no conflict of interest. |
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| Cite this article as: Whitley KA, Trinchere K, Prutsman W, et al. Midtrimester dilation and evacuation versus prostaglandin induction: a comparison of composite outcomes. Am J Obstet Gynecol 2011;205:386.e1-7. |
Vol 205 - N° 4
P. 386.e1-386.e7 - octobre 2011 Retour au numéro
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