M Arshad Chohan, Asma Ansari, Saad Rana.
MidTrimester induction of Labour.
Pak J Obstet Gynaecol Jan ;12(1,2):51-5.

PGF2-alpha was used extra-amniotically through transcervical Foleys catheter after diluting 1cc ampoule in 19 cc of Normal Saline for induction of Labour in patients with second trimester missed abortions. All patients started uterine contractions within 6 hours, expelled Foleys catheter within 16 hours of start of injection and pregnancy contents within 4 hours of expulsion of catheter. Syntocinon was required only in 3 patients. 85% patients expelled within 24 hours was 100%. No side effects like gastrointestinal upset, postpartum hemorrhage or uterine rupture was observed. It is thus concluded that induction of labor with prostaglandins in second trimester of pregnancy is safe and effective.

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