Safe uterus emptying in non-developing pregnancy. Our opportunities today
Dobrokhotova Yu.E., Ilina I.Yu., Mikhneva D.A.

Russian National Research Medical University named after N.I. Pirogov, Moscow

Non-developing pregnancy is a special form of miscarriage, characterized by the death of an embryo or fetus for up to 20 weeks without the expulsion of the elements of the ovum from the cavity of uterus. The proportion of non-developing pregnancy in the structure of early reproductive losses ranges from 45 to 88.6%, the rate increases by 7% annually. For evacuation of the ovum from the cavity of uterus, two main methods are used: surgical - vacuum aspiration of the contents of the uterus cavity, and conservative - medication induction of the miscarriage. Safe uterus cavity emptying is an important factor in preventing complications of an non-developing pregnancy. There are various ways of emptying the uterus cavity and in most cases, in all types of surgical methods the cervix dilatation is necessary. There are mechanical and medicated cervix dilatation. In recent years, the hygroscopic cervix dilatator Dilapan-S containing hydrogel has been used. The article presents a clinical case of the successful use of Dilapan-S for long periods of non-developing pregnancy combined with the use of antiprogestagens with prostaglandins. The use of Dilapan-S reduces the terms of the termination of pregnancy, promotes more careful opening of the cervix and emptying its cavity, reducing the risk of cervical injury, and thus preventing cervical incompetence.

Key words: non-developing pregnancy, reproductive loss, miscarriage, cervical incompetence, Dilapan-S.
For citation: Dobrokhotova Yu.E., Ilina I.Yu., Mikhneva D.A. Safe uterus emptying in non-developing pregnancy. Our opportunities today // RMJ. 2017. № 26. P. 1883–1985.