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 ::  Abstract
 ::  Introduction
 ::  Material And Methods
 ::  Results
 ::  Discussion
 ::  Acknowledgements
 ::  References
 ::  Article Tables

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ARTICLE
Year : 1979  |  Volume : 25  |  Issue : 1  |  Page : 30-32

The augmentary effect of intramuscular prostaglandins on ethacridine lactate


Department of Obstetrics and Gynecology, K.E.M. Hospital, Parel, Bombay 400012., India

Correspondence Address:
Veena B Roate
Department of Obstetrics and Gynecology, K.E.M. Hospital, Parel, Bombay 400012.
India
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Source of Support: None, Conflict of Interest: None


PMID: 458739

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 :: Abstract 

A combination of 100 ml of 0.1% Ethacridine lactate solution and two intra-muscular injections of prostaglandin (300 µg each of I5-Methyl-PGF 2α)was tried for safe termination of pregnancy. It was found that the success rate (88%) with this combination regimen was better than ethacridine lactate alone but a little inferior to prostaglandins alone. Average abortion interval was also less than with ethacridine lactate. However, the combination did not reduce the gastro-intestinal disturbances associated with prostaglandins.



How to cite this article:
Roate VB, Ananthakrishnan R, Ganguli A C, Krishna UR. The augmentary effect of intramuscular prostaglandins on ethacridine lactate. J Postgrad Med 1979;25:30-2

How to cite this URL:
Roate VB, Ananthakrishnan R, Ganguli A C, Krishna UR. The augmentary effect of intramuscular prostaglandins on ethacridine lactate. J Postgrad Med [serial online] 1979 [cited 2019 Nov 15];25:30-2. Available from: http://www.jpgmonline.com/text.asp?1979/25/1/30/42102



 :: Introduction Top


Ethacridine lactate (0.1%) used extra­amniotically has been shown to success­fully terminate pregnancy in about 75% [2] of the cases.

Prostaglandins as intramuscular injec­tion have shown high success rate and short. induction abortion interval, [1] com­pared to other abortifacients, but their restricted availability and high cost limits its frequent use. Hence we have attempt­ed to study the augmentary effect of intramuscular injections of prostaglan­dins in two small doses, on the clinical course of ethacridine lactate. The rationale of this trial was to evolve a method which is safe and is relatively cheaper than prostaglandins alone, with abortion time shorter and success rate higher than that of ethacridine lactate alone.


 :: Material And Methods Top


50 women in the age group of 15-35 years and between 13-20 weeks of gesta­tion were selected for this trial.

A Foley's catheter (No. 14F for nulli­parous and 16F for multiparous) was passed extra-amniotically. The bulb of the catheter was inflated with 30 cc of normal saline.

Initially, 100 ml. of 0.1% ethacridine lactate was instilled in all cases. Later at 3hourly interval, 300 µgm of 15-methyl. PGF 2α was given intramuscularly for 2 doses. The catheter was deflated and re­moved 6˝ hours from initiation of the therapy.

All patients were covered with long acting penicillin 1.2 mega units intra­muscularly.


 :: Results Top


[Table 1] shows the case distribution with respect to gestation weeks. 80% of the cases were in the early mid trimester group.

[Table 2] shows that majority (60%) of the cases were primigravidae, of which 93.3% were unmarried.

In [Table 3] we compare the clinical events of our present trial with that of intramuscular prostaglandins (as report­ed by Gharse et al [1] ) and ethacridine lactate (as reported by Purandare et al [2] ).

We find that the two intramuscular injections of prostaglandin have not only improved the rate of success from 75 (group I) to 88% (group III) but also shortened the abortion interval from 29.54 hours (group I) to 21.26 hours (group III). The incidence of incomplete abortion is only 8% in group III compar­ed to 16% and 48% in groups I and II respectively.

It is surprising that limiting the num­ber of intramuscular injections of prosta­glandins to two, did not appreciably re­duce the gastro-intestinal disturbances associated with prostaglandins.


 :: Discussion Top


Extra-amniotic injection of 0.1% etha­cridine lactate has been shown to suc­cessfully induce abortion in 75% of the cases with an average induction abortion time of 30 hours [2] (approximately).

Prostaglandins in multiple intramus­cular doses were shown to be successful in 97.8% of the cases with an average induction abortion time of 18.18 hours [1] .

When two shots of intramuscular pro­staglandins have been used with etha­cridine lactate the average induction abortion time of ethacridine lactate is decreased to 21.26 hours and the net suc­cess is increased to 88%.


 :: Acknowledgements Top


We are very grateful to Dr. V. N. Purandare for his guidance and encour­agement. We thank Dr. C. K. Deshpande, Dean, K.E.M. Hospital, for allowing us to publish the hospital data. Our sincere thanks are due to Unichem Laboratories Limited, for supplying us the Ethacridine Lactate (Unacredil).



 
 :: References Top

1.Gharse, R. M., Krishna, U. R., Ganguli, A. C. and Purandare, V. N.: Serial intra­muscular injections of 15 methyl PGF 2α for second trimester abortion. J. Post­grad. Med., 23: 91-94, 1977.  Back to cited text no. 1    
2.Purandare, V. N., Mhatre, Veena, Krishna Usha, R., Gogate, S. G., Gupta, Kusum, C., Sheth, U. K. and Khatu Aruna: The place of ethacridine lactate for mid tri­mester M.T.P.-Multicentric study. J. Postgrad. Med., 23: 73-76, 1977  Back to cited text no. 2    



 
 
    Tables

  [Table 1], [Table 2], [Table 3]



 

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