Silent uterine rupture following second trimester medical termination of pregnancy in a woman with an artificial urinary sphincter and three previous caesarean sections

The article describes the specific features of termination of progressive uterine pregnancy in the II trimester. It was found that the efficacy of medical abortion in the II trimester of pregnancy is 94–98%. High efficacy, low incidence of side effects or early and late complications and economic feasibility demonstrate that the method is promising and safe; therefore, it can be recommended as a priority when choosing a method for medical termination of pregnancy in the II trimester.

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Role of misoprostol 4 hourly versus 6 hourly in medical termination of pregnancy in 2nd trimester.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.11.6285 ◽

2021 ◽

Vol 28 (11) ◽

pp. 1645-1649

Author(s):

Komal Devi ◽

Shazia Aftab ◽

Reena ◽

Huma Baloch ◽

Devi Kumari ◽

...

Keyword(s):

Cross Sectional Study ◽

Termination Of Pregnancy ◽

Ethical Review ◽

Second Trimester ◽

Cross Sectional ◽

Medical Termination Of Pregnancy ◽

Medical Termination ◽

Ethical Approval ◽

Group A ◽

Group B

Objective: To determine efficacy of misoprostol given in 4 hourly versus 6 hourly intervals in second trimester for termination of pregnancy. Study Design: Cross sectional study. Setting: Study was conducted at the department of Obstetrics and Gynecology of Jinnah Medical and Dental College Karachi Allied Hospital. Period: March to August 2020. Material & Methods: Pregnant ladies in second trimester, requiring abortion due to medical reasons, were planned for termination of pregnancy. Two groups were made. Patients in Group-A were given misoprostol 4 hourly and those in Group-B were given misoprostol 6 hourly. Similar dose of drug (200ug) was given in both groups and monitoring was done. If abortion done in 48 hours, it was considered effective abortion and if not happened in 48 hours, it was considered a failed abortion. Consent was taken from all ladies in study group. Ethical approval was taken from ethical review committee. Results: Total 140 cases were studied, 70 cases in each group, A & B. Age range of cases was 16-40 years with mean age of 26.4±3.5 years. Most of the cases were having age between 20-30 years (63.5%). Group-A (N=70) was given misoprostol 4 hourly, where abortion was done in 94.3% cases while abortion failed in 5.7% cases. In Group-B (N=70) misoprostol was given 6 hourly, induced abortion in 82.8% and failed in 17.1% cases. Conclusion: Misoprostol dose of 20ug given via vaginal route is much effective drug for medical termination of pregnancy when given 4 hourly instead 6 hourly, with low failure rate.

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Pelvic pain due to intrauterine retention of fetal bone after second trimester medical termination of pregnancy: a rare case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175300 ◽

2017 ◽

Vol 6 (12) ◽

pp. 5646

Author(s):

Meena Bhati Salvi ◽

Madhubala Chauhan

Keyword(s):

Pelvic Pain ◽

Rare Complication ◽

Abnormal Uterine Bleeding ◽

Termination Of Pregnancy ◽

Second Trimester ◽

Trimester Abortion ◽

Fetal Bone ◽

Medical Termination Of Pregnancy ◽

Medical Termination ◽

History Of

Intrauterine retention of fetal bone is a rare complication of second trimester termination of pregnancy. These patients may present with abnormal uterine bleeding, dysmenorrhea and secondary infertility. In this case pelvic pain was the only symptom. A 32-year-old woman with history of second trimester medical termination of pregnancy was examined. Pelvic ultrasound revealed retained products of conception. After surgical evacuation, intrauterine retained fetal bone was identified to be the cause of pelvic pain. In patients with history of second trimester abortion, cause of pelvic pain should be properly evaluated.

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Medical termination of pregnancy after endometrial ablation resulting in uterine rupture

Journal of Obstetrics and Gynaecology ◽

10.3109/01443615.2015.1133581 ◽

2016 ◽

Vol 36 (5) ◽

pp. 681-682 ◽

Cited By ~ 2

Author(s):

Matthew Finneran ◽

Lorene Temming ◽

Courtney Stephenson

Keyword(s):

Uterine Rupture ◽

Endometrial Ablation ◽

Termination Of Pregnancy ◽

Medical Termination Of Pregnancy ◽

Medical Termination

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Silent Uterine Rupture with the Use of Misoprostol for Second Trimester Termination of Pregnancy : A Case Report

Obstetrics and Gynecology International ◽

10.1155/2011/584652 ◽

2011 ◽

Vol 2011 ◽

pp. 1-2 ◽

Cited By ~ 6

Author(s):

Martin Cuellar Torriente

Keyword(s):

Uterine Rupture ◽

Postoperative Recovery ◽

Termination Of Pregnancy ◽

Second Trimester ◽

Vacuum Aspiration ◽

Medical Termination ◽

Manual Vacuum Aspiration ◽

Induced Abortions ◽

Life Threatening ◽

Uterine Scar

Uterine rupture is an uncommon, but a life-threatening, complication following second trimester medical termination of pregnancy (TOP). The reported cases have been in both the scarred and unscarred uterus (Rajesh et al. 2002, Drey et al. 2006, and Dickinson). A 27-year-old with two previous deliveries, no previous caesarean section, no history of induced abortions, and no gynaecological operations. She presented with amenorrhoea, and according to her last normal menstruation, she was 10 weeks and 5 days. Ultrasound was done, and it reported 16 weeks and 5 days. She asked for TOP. According to the clinic's protocol, misoprostol 800 mcg (4 tabs) were given to be used vaginally as a loading dose and another three to be taken orally after that. In the following day when she attended the clinic for follow up, a manual vacuum aspiration (MVA). A manual vacuum aspiration was indicated as an incomplete abortion. During the procedure, a uterine rupture was found in the uterine lower segment. A laparotomy was done and a lineal uterine rupture was found and sutured. The patient had a good postoperative recovery and was discharged from hospital after four days. The clinician dealing with second trimester terminations should be aware of the possibility of having a uterine rupture, especially in patients with a uterine scar in order to make an early diagnosis.

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