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  • Title: [Pregnancy termination in convulsive eclampsia using a "prostaglandin-cap"].
    Author: Grünberger W, Husslein P.
    Journal: Geburtshilfe Frauenheilkd; 1982 Oct; 42(10):755-7. PubMed ID: 6924631.
    Abstract:
    Five cases of eclampsia are reported where, since the cervix was immature, pregnancy was terminated with local application of prostaglandin E2 by means of a portio-adapter. Induction-delivery time was short in each instance; in only one patient mild side effects common to prostaglandins were observed. In all five patients operative delivery could be avoided. Shortly after expulsion of the fetus all patients were symptom-free, all post partum courses were uneventful. Three fetuses were already dead before induction of labour, the remaining two weighing 850 g and 1000 g died of respiratory distress syndrome on post partum day five and nine. Local application of PGE2 by means of a portio-adapter can be considered a serious improvement in the therapy of convulsive eclampsia. 5 cases of eclampsia are reported where, since the cervix was immature, pregnancy was terminated with local application of prostaglandin E2 (PGE2) by means of a portio-adapter. Induction-delivery time was short in each instance; in only 1 patient were mild side effects common to PGs observed. Operative delivery was avoided in all 5 patients. Shortly after expulsion of the fetus, all patients were symptom-free, all postpartum courses were uneventful. 3 fetuses were already dead prior to induction of labor; the remaining 2 weighing 850 g and 1000 g died of respiratory distress syndrome on postpartum days 5 and 9. Local application of PGE2 by means of a portio-adapter can be considered a serious improvement in the therapy of convulsive eclampsia. (author's modified)
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