National survey of attitudes towards pregnancy termination procedures among anaesthesiology residents in the US

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 477
Author(s):  
Paris Stowers ◽  
Aneesa Thannickal ◽  
Martha Wojtowycz ◽  
Jodi Wallis ◽  
Zevidah V. Reiss
Keyword(s):  
Maternal Health ◽  
Online Survey ◽  
Pregnancy Termination ◽  
First Trimester ◽  
Second Trimester ◽  
Fetal Anomalies ◽  
Trimester Abortion ◽  
The Us ◽  
Second Trimester Abortion ◽  
Abortion Access

Anaesthesiologists are vital to abortion access in the US. An online survey of 215 anaesthesiology residents assessed attitudes towards abortion. Among the surveyed residents, first-trimester abortion was more acceptable than second-trimester abortion (P < 0.001). Few respondents objected to abortion in cases of fetal anomalies or maternal health indications. Further, 77.3% of surveyed residents reported past participation in abortion procedures, including 77.8% of residents with objections to abortion in some circumstances. Anaesthesiology residents who are female, childless and non-religious were more likely to find first-trimester abortion acceptable.

scholarly journals Comparative study between intravaginal misoprostol and extra-amniotic instillation of ethacridine lactacte for second trimester abortion

2017 ◽  
Vol 6 (6) ◽  
pp. 2575
Author(s):  
Suryaprakash Jagdevappa Karande ◽  
Meena Shantanu Gunjotikar
Keyword(s):  
Side Effects ◽  
Pregnancy Termination ◽  
First Trimester ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Ethacridine Lactate ◽  
Second Trimester Pregnancy ◽  
Group A ◽  
Second Trimester Abortion ◽  
Group B

Background: The methods of terminating pregnancy in the first trimester are simple, safe and effective. Factors like lack of knowledge about availability of MTP services, ignorance, denial of pregnancy, fear of society may account for decrease in number of first trimester abortions. The aims of the present study were to compare the efficacy, induction abortion interval and side effects of intravaginal misoprostol with extra amniotic installation of ethacridine lactate for second trimester abortion.Methods: 60 women coming to MTP clinics requesting second trimester pregnancy termination between 12 to 20 weeks were selected. Detail history and examination was carried out in each patient. They divided into two groups, Group A (30) intravaginal misoprostol 400 initially followed by 400 micrograns every 6 hourly if required. Group B (30) extra-amniotic 0.1% ethacridine lactate 150 cc.Results: In Group A success rate was 100% while in Group B it was 76.66%, which is highly statistically significant (P< 0.01). Mean I – A interval in Group A was 14.58+5.25 hours was highly significantly less than in Group B, it was 33.91 + 3.97 hours (p<0.0001). In Group A complete abortion has occurred in 28 cases (93.33%) and in Group B in 12 cases (52.17%).Conclusions: We conclude that, as compared to extra-amniotic instillation of ethacridinelactate intravaginal misoprostol is the preferred regimen in second trimester abortion because of its high efficacy, shorter induction abortion interval, high incidence of completeness of abortion, low incidence of side effects and better tolerance by the patient. 

scholarly journals Induced Second Trimester Abortion and Associated Factors in Amhara Region Referral Hospitals

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Amlaku Mulat ◽  
Hinsermu Bayu ◽  
Habtamu Mellie ◽  
Amare Alemu
Keyword(s):  
Associated Factors ◽  
First Trimester ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Second Trimester ◽  
Amhara Region ◽  
Trimester Abortion ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Second Trimester Abortion

Background. Although the vast majority of abortions are performed in the first trimester, still 10–15% of terminations of pregnancies have taken place in the second trimester period globally. As compared to first trimester, second trimester abortions are disproportionately contribute for maternal morbidity and mortality especially in low-resource countries where access to safe second trimester abortion is limited. The main aim of this study was to assess the prevalence and associated factors of induced second trimester abortion in Amhara region referral hospitals, northwest Ethiopia.Methods. Institution based cross-sectional study was conducted in Amhara region referral hospitals among 416 women who sought abortion services. Participants were selected using systematic sampling technique. Data were collected using pretested structured questionnaire through interviewing. After the data were entered and analyzed; variables which havePvalue < 0.2 in bivariate analysis, not colinear, were entered into multiple logistic regressions to see the net effect with 95% CI andPvalue < 0.05.Results. The prevalence of induced second trimester abortion was 19.2%. Being rural (AOR = 1.86 [95% CI = 1.11–3.14]), having irregular menstrual cycle (AOR = 1.76 [95% CI = 1.03–2.98]), not recognizing their pregnancy at early time (AOR = 2.05 [95% CI = 1.21–3.48]), and having logistics related problems (AOR = 2.37 [95% CI = 1.02–5.53]) were found to have statistically significant association with induced second trimester abortion.Conclusion. Induced second trimester abortion is high despite the availability of first trimester abortion services. Therefore, increase accessibility and availability of safe second trimester abortion services below referral level, counseling and logistical support are helpful to minimize late abortions.

scholarly journals Utilisation of second-trimester spontaneous and induced abortion services in public hospitals in Mexico, 2007–2015

2019 ◽  
Vol 45 (4) ◽  
pp. 283-289 ◽  
Author(s):  
Lily T Alexander ◽  
Evelyn Fuentes-Rivera ◽  
Biani Saavedra-Avendaño ◽  
Raffaela Schiavon ◽  
Noe Maldonado Rueda ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
State Level ◽  
Population Data ◽  
First Trimester ◽  
Public Hospitals ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Discharge System ◽  
Abortion Law ◽  
Second Trimester Abortion

BackgroundData on utilisation of in-facility second-trimester abortion services are sparse. We describe temporal and geographical trends in utilisation of in-facility second-trimester abortion services across Mexico.MethodsWe used 2007–2015 data from Mexico’s Automated Hospital Discharge System (SAEH) to identify second-trimester abortive events (ICD O02-O08) in public hospitals across Mexico’s 32 states. We described utilisation, calculated rates using population data, and used logistic regression to identify woman- and state-level factors (municipality-level marginalisation, state-level abortion law) associated with utilisation of second-trimester versus first-trimester services.ResultsWe identified 145 956 second-trimester abortions, or 13.4% of total documented hospitalizations for abortion between 2007 to 2015. The annual utilisation rate of second-trimester abortion remained constant, between 0.5 to 0.6 per 1000 women aged 15–44 years. Women living in highly marginalised municipalities had 1.43 higher odds of utilising abortions services in their second versus their first trimester, when compared with women in municipalities with low marginalisation (95% CI 1.18 to 1.73). Living in a state with a health or fetal anomaly exception to abortion restrictions was not associated with higher utilisation of second-trimester abortion services.ConclusionsOur results suggest there is a need for all types of second-trimester abortion services in Mexico. To improve health outcomes for Mexican women, especially the most vulnerable, access to safe second-trimester abortion services must be ensured through the implementation of current legal exceptions and renewed attention to the training of healthcare providers.

scholarly journals Role and efficacy of vaginal dinoprostone gel (PGE2) plus vaginal misoprostol (PGE1) in second trimester termination of pregnancy

2018 ◽  
Vol 7 (3) ◽  
pp. 888
Author(s):  
Abhijeet Kumar ◽  
Raju Agarwal
Keyword(s):  
Side Effects ◽  
Failure Rate ◽  
Pregnancy Termination ◽  
Termination Of Pregnancy ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Trimester Pregnancy ◽  
Second Trimester Pregnancy ◽  
Second Trimester Abortion ◽  
Vaginal Misoprostol

Background: The addition of dinoprostone gel (PGE2) to standard regimen of second trimester abortion using vaginal misoprostol (PGE1) reduces failure rate and decrease induction abortion time interval. We evaluated the role and efficacy of vaginal dinoprostone gel with vaginal misoprostol in women undergoing second trimester abortion. Objective of present study was to assess the safety and effectiveness of vaginal dinoprostone gel plus vaginal misoprostol for second trimester termination of pregnancy.Methods: This study was a prospective cohort involving 100 women with 12-20 weeks gestation requesting termination of pregnancy. In study group 0.5mg dinoprostone gel applied vaginally followed by 400µg misoprostol every four hourly (max 3 doses) after six hours of dinoprostone gel application. The mean age of the women study was 27.2 years and mean gestational age was 18.9 weeks. The primary effectiveness of the study was the efficacy of the treatment to terminate pregnancy at 20 hrs. Secondary outcomes were induction abortion interval, failure rate, side effects. statistical analysis of study was carried out using chi square test.Results: At 20 hours, the complete abortion rate was 100%. Within 16 hours 98% women aborted without any significant side effects. Mean induction abortion interval was 14.56 hours.Conclusions: Combination of vaginal dinoprostone gel (PGE2) plus misoprostol (PGE1) is effective, safe and alternate method for second trimester pregnancy termination with. In this protocol induction to abortion interval time is less as compared to other methods of second trimester pregnancy termination.

scholarly journals A Complication of Surgical Abortion: A Rare Presentation

2014 ◽  
Vol 6 (1) ◽  
pp. 33-34
Author(s):  
Reeti Mehra ◽  
Dilpreet Kaur Pandhar ◽  
Anju Huria
Keyword(s):  
Rare Complication ◽  
First Trimester ◽  
Uterine Wall ◽  
Complication Rates ◽  
Second Trimester ◽  
Rare Presentation ◽  
Trimester Abortion ◽  
Blood Clots ◽  
Second Trimester Abortion ◽  
Surgical Abortion

ABSTRACT Dilatation and evacuation (D and E) is the most commonly used method for later abortion. It is one of the safest procedure when performed by experienced personnel. Complication rates are high in second trimester abortion compared to first trimester. Rupture of uterine wall covered with organized blood clots is very rare complication after second trimester surgical abortion. It is a surgical emergency and may have deleterious consequences if diagnosis is delayed. How to cite this article Kaur M, Pandhar DK, Mehra R, Huria A. A Complication of Surgical Abortion: A Rare Presentation. J South Asian Feder Obst Gynae 2014;6(1):33-34.

scholarly journals Study of role of tablet misoprostol and extra amniotic normal saline in second trimester abortion

2018 ◽  
Vol 8 (1) ◽  
pp. 234
Author(s):  
Zinkal P. Kothadiya ◽  
Bhavesh B. Airao ◽  
Bipin R. Shah
Keyword(s):  
Normal Saline ◽  
Pregnancy Termination ◽  
Balloon Catheter ◽  
Major Complication ◽  
Controlled Study ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Mechanical Methods ◽  
Second Trimester Pregnancy ◽  
Second Trimester Abortion

Background: Second-trimester pregnancy termination comprises 10 to 15 percent of the approximately 42 million abortions performed annually worldwide.  Second-trimester procedures can be performed either with medication or by mechanical methods (Foleys catheter) or surgically by dilation and evacuation (D and E) or hysterotomy. The objective of the present study was to evaluate and compare the efficacy and safety of Tablet Misoprostol and extra amniotic infusion of normal saline with balloon catheter in second trimester abortion, to find out the maternal outcome, to compare the induction- to delivery interval between tablet misoprostol and extra amniotic infusion of normal saline with balloon catheter and to compare the cost of induction between tablet misoprostol and extra amniotic infusion of normal saline   with balloon catheter.Methods: This randomized controlled study was carried out in the Obstetrics and Gynecology. Department of C.U. Shah Medical College, Surendranagar, from 23th August 2017 to 20th August 2018.Results: Amongst the 100 participants, 50 induction is done with tab. Misoprostol and 50 induction done with EASIBC. Success rate is higher in tab. Misoprost which is 90.20% and in EASIBC is 75.51%. There were longer induction abortion interval in EASIBC: Need for curettage among Misoprostol is 5 and EASIBC is 9. Major complication like PPH occurred in two cases in induction with tab. Misoprostol, which is managed by further intervention and no death occurred. No major complication occurred in induction with EASIBC.Conclusions: Excluding the side effects and complications, which are manageable induction with tab. Misoprostol is better than EASIBC in terms of induction abortion interval, effectiveness, acceptability.

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