BACKGROUND The efficacy and safety of low dose misoprostol as a ripening agent compared to the widely used balloon catheter in developing countries is undetermined. OBJECTIVE To compare the safety and efficacy of a low dose intravaginal misoprostol and intracervical Foley's catheter for cervical ripening. DESIGN A prospective randomized controlled trial. SETTING Zonal General Hospital, Kw...

Comparison of vaginoscopic no touch method with the traditional method of outpatient hysteroscopy Objective: To compare the vaginoscopic “no touch” approach to diagnostic outpatient hysteroscopy without anesthesia with traditional diagnostic office hysteroscopy after intracervical injection of prilokaine hydrochloride 2% in terms of pain perception and feasibility. Material and Methods: A total...

A prospective controlled study of donor insemination without sperm preparation or ovarian stimulation was performed to compare the use of a cervical cap incorporating an intracervical reservoir with a standard intracervical injection technique to inseminate 0.5 ml cryopreserved semen. Treatments were alternated in successive cycles in each patient after initial randomized selection. A total of ...

Background: The aim of this study is to evaluate whether the location of the balloon placement into either the cervical canal or uterine cavity during sonohysterography can affect the intensity of pain. Materials and Methods: A total of 300 infertile women undergoing sonohysterography were randomized to intracervical or intrauterine balloon placement. The examination was scheduled in the early ...

Objectives: To assess the effectiveness, safety and acceptability of intracervical foley catheter and vaginal misoprostol versus vaginal misoprostol for termination of second trimester pregnancy. Methods: This clinical study was conducted on 200 pregnant patients intended for termination of pregnancy between 13-24 gestational weeks for any indication. Enrolled women were equally allocated into ...

Induction of labour is a common need in obstetrics ward. There are various complications and drug side effects associated with it. This study has been designed to compare the safety and efficacy of 50μg intra-vaginal misoprostol (PGE1 analogue)with 0.5mg intracervical dinoprostone gel (PGE2). . 40 pregnant women with different indications of induction of labour participated in the study. They w...

OBJECTIVE The purpose of this study was to determine the efficacy of combination intravaginal misoprostol and intracervical Foley catheter for prelabor cervical ripening. STUDY DESIGN A prospective, randomized controlled trial was conducted. Women who were undergoing labor induction, with a singleton gestation >or=28 weeks and an unfavorable cervix (Bishop score <or=6), were assigned to one o...

In a prospective, randomized study of insemination with donor semen, intracervical insemination by straw was compared with insemination using a cervical cap with an intracervical reservoir. A total of 91 patients completed 486 treatment cycles. There were no significant differences in age, parity, indication for insemination by donor, or method of cycle monitoring between women who became pregn...

BACKGROUND Cervical pregnancy, an uncommon variety of ectopic gestation is associated with high morbidity and adverse consequences for future fertility. Currently there are no specific recommendations for the best treatment of this entity. CASE A 35-year-old nullipara presented with 8 weeks of amenorrhea and painless brown discharge. The patient was diagnosed with cervical pregnancy with embr...

Cervical ripening is an essential factor for initiation of normal labour for vaginal delivery. Prior to onset of spontaneous labour the cervix undergoes a gradual process of ripening. But in certain cases it does not occur spontaneously at term and sometimes induction of labour is required. Then cervical ripening means high bishop score in essential for successful induction of labour. This comp...