Changes in Hemorrhage With Prophylactic Oxytocin for Dilation and Evacuation

Changes in Rate of Hemorrhage With Prophylactic Oxytocin for Second Trimester Dilation and Evacuation in the Clinic Setting

The purpose of this study is to assess the effectiveness of prophylactic oxytocin on hemorrhage rates for second trimester dilation and evacuation (D&E) in the clinic setting.

Inclusion Criteria:

• clinic-based D&E at 18 weeks gestational age and above
• speaks English or Spanish

Exclusion Criteria:

• refuses IV
• history of coagulopathy
• anticoagulant use in the preceding five days
• chorioamnionitis or sepsis
• suspected placenta accreta spectrum
• intrauterine fetal demise
• multiple gestation
• use of misoprostol for cervical preparation