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Society of Family Planning clinical recommendations: Cervical preparation for dilation and evacuation at 20-24 weeks' gestation.

Author: DiedrichJustin T, DreyEleanor A, NewmannSara J

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

This review article discusses cervical preparation methods for dilation and evacuation (D&E) procedures at 20-24 weeks' gestation. The use of osmotic dilators, mifepristone, and misoprostol is reviewed, along with the risks and benefits of each method.
Paper Details　
Original Abstract of the Article :
Although only 1.3% of abortions in the United States are between 20 and 24 weeks' gestation, these procedures are associated with elevated risks of morbidity and mortality. Adequate cervical preparation before dilation and evacuation (D&E) at 20-24 weeks' gestation reduces procedural risk. For this ...See full text at original site
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引用元：
https://doi.org/10.1016/j.contraception.2020.01.002

データ提供：米国国立医学図書館（NLM）

Navigating the Complexities of Late-Term Abortion

The field of reproductive healthcare is constantly evolving, with new research continually shaping our understanding of best practices. This study focuses on a particularly challenging aspect of this field: late-term abortions. The authors take a practical approach, examining the use of cervical preparation techniques to minimize risks associated with these procedures.

Optimizing Cervical Preparation: A Journey Towards Safer Procedures

The study suggests that cervical preparation with osmotic dilators is a crucial step in reducing the risk of complications during late-term abortions. While overnight dilators are generally sufficient, the use of Dilapan-S® dilators and adjunctive mifepristone may offer improved outcomes. These findings are significant, as they provide specific recommendations to enhance the safety and efficacy of these procedures.

A Call for Further Research in Reproductive Healthcare

The research underscores the ongoing need for further investigation into optimal cervical preparation techniques. The authors advocate for additional studies to clarify the best approaches to minimize abortion complications and improve outcomes for patients undergoing these procedures.

Dr. Camel's Conclusion

This study sheds light on the complexities of late-term abortion, highlighting the importance of careful cervical preparation. The authors' recommendations provide valuable guidance for healthcare providers and offer hope for improved outcomes for patients undergoing these procedures. The need for continued research underscores the ongoing evolution of reproductive healthcare and the importance of finding safer and more effective approaches.

Date :
  1. Date Completed 2021-07-19
  2. Date Revised 2021-07-19
Further Info :

Pubmed ID

32007418

DOI: Digital Object Identifier

10.1016/j.contraception.2020.01.002

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Languages

English

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