title: The experience of termination of second trimester pregnancies using gemeprost vaginal pessaries in a district general hospital.
abstract: Experience with the use of Gemeprost pessaries (prostaglandin E1 analogue), in a group of 60 consecutive patients for second trimester termination in a Scottish District General Hospital, is presented. Gestation ranged from 12 to 20 weeks; there were 29 nulliparous (48%) and 31 (52%) multiparous women. Fifty-seven (95%) aborted within 36 hours; 29 (48%) aborted completely and did not require further uterine curettage. Nulliparous patients required more pessaries and the abortion was more often incomplete. Side effects were minimal. There were no serious problems; and antiemetics were required by 17% and parenteral analgesics by 13% of patients.
authors.affiliation: Department of Obstetrics and Gynaecology, Raigmore Hospital, Inverness, Scotland.
authors.forename: B H
authors.initials: BH
authors.lastname: Lim
authors.forename: T A
authors.initials: TA
authors.lastname: Mahmood
authors.forename: D A
authors.initials: DA
authors.lastname: Lees
mesh_terms: D000032:Abortion, Therapeutic / Q000379:methods*; D000282:Administration, Intravaginal; D000293:Adolescent; D000328:Adult; D000527:Alprostadil / Q000031:analogs & derivatives*; D005260:Female; D006801:Humans; D010570:Pessaries; D011247:Pregnancy; D011262:Pregnancy Trimester, Second
chemical_list: C021182:gemeprost; D000527:Alprostadil