The Role of Cervical Consistency Index and Uterocervical Angles in Medical Termination

The Role of Cervical Consistency Index and Uterocervical Angles in Predicting Second Trimester Medical Termination

The main aim of the investigator study is the success of predictivity cervical consistency index (CCI), anterior uterocervical angle (aUCA) and posterior uterocervical angle (pUCA) in second trimester terminations.

This prospective clinical study includes 136 pregnant women with a diagnosis of in utero ex fetus who were hospitalized for medical termination in the gynecology service of Health Sciences University Bursa High Specialization Training and Research Hospital Gynecology and Obstetrics Clinic as a single center. The participants were divided into 2 groups as those whose treatment was completed in the first 24 hours (who were completely aborted and removed the fetal material and its attachments ) and those who aborted within 24-48 hours when additional cycles were needed. Furthermore who applied to additional treatment methods were recorded (cervical balloon, hysterotomy ) during these periods. In all pregnant women; characteristic features, abortion times, doses of misoprostol used, anterior- posterior uterocervical angle, cervical length, cervical consistency indexes and gestational weeks were saved.

Inclusion Criteria:

• women who had a termination indication in the second trimester and had abortion or abortion in our hospital
• women who have had a miscarriage or abortion with a normal vaginal route or hysterotomy

Exclusion Criteria:

• multiple pregnancies
• pregnant women with misoprostol-related allergies
• scar pregnancies or heterotopic pregnancies
• patients with a history of previous conization or cervical surgery,
• patients with placental invasion anomaly