OGCO-E9 Pre-operative cervical dilatation

Question 1

Indications for preop cervical dilatation?

Answer 1

• Considered in all cases of surgical abortion
• Other situations when difficulty in cervical dilatation is anticipated (low Bishop score)
• Diagnostic hysteroscopy

Question 2

What are the methods of preop cervical dilatation?

Answer 2

• Misoprostol 400mg sublingually 2-3 hours before evacuation
• Misoprostol 400mg vaginally 3 hours before evacuation
• Insertion of hygroscopic cervical dilator for 3-12 hours

Question 3

What medical regimen for pre op cervical dilatation for hysteroscopic operative procedures?

Answer 3

400mg of oral misoprostol 24 and 12 hours before operative procedure