Paper Information

Journal:   INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)   April 2019 , Volume 17 , Number 4; Page(s) 253 To 260.
 
Paper: 

Immediate dilation of a tight or stenotic cervix by intra-procedural administration of hyoscine butylbromide: A clinical trial

 
DOI: 

10.18502/ijrm.v17i4.4550

 
Author(s):  Hadadianpour Shiva, TAVANA SHAHRZAD*, TAVANA ANAHITA, FALLAHIAN MASOUMEH
 
* University of Texas South West (UTSW), Dallas, Texas, USA/2929 Kings Rd., Apt 3207, Dallas, Texas, Postal Code: 75219
 
Abstract: 
Background: Cervical dilation is indicated prior to performing various gynecological procedures. However, gynecologists are at times confronted with a stenotic or tight cervix, resistant to dilation. This can be problematic particularly when cervical ripening has not been attempted hours before the start of the procedure. Objective: The objective of this study is to investigate the efficacy of administration of hyoscine butylbromide for cervical dilation for immediate dilation of the tight or stenotic cervix. Materials and Methods: In this clinical trial study, a population of 40 women, aged 20-70 yr with stenotic cervix, evidenced by resistance to pass dilator #2 through their cervical canal were compared. Cervical patency was assessed 10 min following intracervical canal instillation of hyoscine butylbromide. Results: Cervical width of 57. 5% of patients became wider, as evidenced by passage of the number 4 Hegar dilator through the cervical canal without resistance. Independent T-tests did not reveal any statistically significant difference between the two groups based on their age. Fisher Exact test revealed a statistically significant difference between the two groups based on the prior route of delivery, with a more statistically significant response in patients who had vaginal deliveries. Conclusion: Intra-cervical canal instillation of hyoscine butylbromide is effective in immediate dilation of the tight or stenotic cervix during intra-uterine procedures.
 
Keyword(s): Hyoscine butylbromide,Cervical dilatation,Cervical ripening
 
References: 
 
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