Amniotomy for Second-trimester Pregnancy Termination
Status:
Not yet recruiting
Trial end date:
2022-03-01
Target enrollment:
Participant gender:
Summary
The termination of abortion is an important issue that has many controversies. The most
common time of serious abortion-related complications is the second trimester. Missed
abortion is one of the most common indications of termination of pregnancy in the second
trimester. Misoprostol and mifepristone are effective drugs for induction of abortion but
these drugs are now expensive, and non-available in many developing countries.
The effectiveness of Foley's catheter balloon on cervical ripping for mid-trimester pregnancy
termination has been proved before. It can effectually shorten the time of the expulsion of
the fetus. Amniotomy defines as an artificial rupture of the membranes; it is an ordinary
obstetric practice used mainly in the induction of labor, with good results and less
morbidity. The obstetricians used to combine amniotomy with other methods such as
prostaglandins or oxytocin to induce labor in a woman with an unfavorable cervix.
Despite plenty of studies that investigated the role of amniotomy for induction of labor but
the studies which addressed the role of amniotomy in the induction of second-trimester
abortion are very scarce in the literature.