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 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 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. 

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 Assessment of the Efficacy of Different Methods of Second Trimester Abortion: An Initial Experience in Eastern Nepal

2015 ◽  
Vol 7 (3) ◽  
pp. 182-184
Author(s):  
Shailaja Chhetri ◽  
Hanoon Pokharel ◽  
Rohit Rijal ◽  
Sushma Lama
Keyword(s):  
Cost Effective ◽  
Medical Abortion ◽  
Outpatient Setting ◽  
Complication Rates ◽  
Safe Procedure ◽  
Initial Experience ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Surgical Methods ◽  
Second Trimester Abortion

ABSTRACT Background Abortions performed in the second trimester account for a disproportionate amount of abortion-related morbidity and mortality. Materials and methods To assess the effectiveness of medical vs the surgical methods for second trimester abortions. Results A total number of 141 patients were included in the study from September 2009 till August 2012 who underwent second trimester abortion. A total number of 75 patients underwent medical abortion and 66 patients underwent surgical dilatation and evacuation (D&E). Surgical treatment with D&E was more effective and safer than medical treatment for second trimester abortion, The overall complications were seen more in the medically treated cohort with 20 vs 6% in the surgical cohort (p = 0.02), with higher incidence of incomplete abortion (13 vs 0) and a higher amount of blood loss (129.4 ± 20.6 ml vs 69.6 ± 11.4 ml, p < 0.001) requiring transfusion. Conclusion This study demonstrates that the surgical method of second trimester abortion is more effective and safe procedure in experienced centers and as compared to medical methods. The complication rates are lower and it also is more cost-effective as it can be performed in an outpatient setting and does not require hospital admission. How to cite this article Chhetri S, Pokharel H, Rijal R, Lama S. Assessment of the Efficacy of Different Methods of Second Trimester Abortion: An Initial Experience in Eastern Nepal. J South Asian Feder Obst Gynae 2015;7(3):182-184.

scholarly journals Medical and Surgical Abortion in the Second Trimester of Pregnancy

2015 ◽  
Vol 10 (1) ◽  
pp. 25-29
Author(s):  
A Karki ◽  
G Dangal ◽  
HK Pradhan ◽  
R Shrestha ◽  
K Bhattachan
Keyword(s):  
Good Method ◽  
Median Number ◽  
Second Trimester ◽  
Cervical Dilation ◽  
Trimester Abortion ◽  
Second Trimester Pregnancy ◽  
Second Trimester Abortion ◽  
Cervical Preparation ◽  
Medical Induction ◽  
Surgical Abortion

Aims: This study was done to know the demographic profile of women undergoing second trimester abortion at Kathmandu Model Hospital. The aim was to see the success rate of combination of mifeprostone and misoprostol for the medical induction and misoprostol alone for the cervical dilation in case of surgical evacuation.Methods: A retrospective study was done by looking at the profiles of 540 clients on whom second trimester abortion was performed during the period of October 2010 to October 2014. Twenty-nine women underwent dilatation and evacuation (D&E) with misoprostol cervical priming, and 510 underwent medical induction with mifeprostone and misoprostol whereas one client absconded. Furthermore, the reasons for seeking second trimester abortion were also investigated.Results: It can be seen that the age of women undergoing second trimester abortion at Kathmandu Model Hospital was greatest (33.33%) for the age group of 26-30 years. Most women were illiterate (31.67%) and a majority of the women were housewives (89.81%). A greater proportion of the women had never undergone abortion. Mental cause appeared to be the major reason for abortion constituting 82.04%. Success was 90.58%, expulsion with total five doses of misoprostol. The median induction to abortion time was 4-7 hours. The expulsion hours increased as the gestational age increased. The median number of dose of misoprostol required was two for medical induction and three for surgical abortion.Conclusions: Mifeprostone and misoprostol, as combination was a good method for the medical induction of second trimester pregnancy and misoprostol alone for the cervical preparation in surgical evacuation was promising.

Environmental Exposures in the Etiology of Abortion: Placental Toxic and Trace Element Levels

2020 ◽  
Vol 224 (06) ◽  
pp. 339-347
Author(s):  
Emre Baser ◽  
Demet Aydogan kırmızı ◽  
Vugar Ali Turksoy ◽  
Taylan Onat ◽  
Melike Demir Çaltekin ◽  
...  
Keyword(s):  
Trace Elements ◽  
Trace Element ◽  
Odds Ratio ◽  
Toxic Elements ◽  
Independent Predictor ◽  
First Trimester ◽  
Control Group ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Second Trimester Abortion

Abstract Purpose Intensive research has been conducted on the effects of toxic and trace elements on pregnancy. Previous studies indicated a possible relationship between placental levels of these elements and first-trimester abortion; however, their effects on the further gestational weeks are not clear. This study aimed to investigate the effect of changes in the levels of placental trace and toxic elements on second-trimester abortion. Methods The patient group consisted of 30 women with missed abortion. The control group comprised 60 healthy term and singleton pregnant women who gave birth. Placental samples were obtained from the patients and the healthy controls, and the concentrations of placental elements were measured using inductively coupled plasma mass spectrometry. Results In the abortion group, placental arsenic, cadmium, mercury, lead, antimony, tin, cobalt, manganese, and selenium levels were significantly higher than those of the control group (p<0.05). Antimony was determined as an independent predictor with an odds ratio of 6.1 in toxic elements (p=0.025), and selenium was determined as an independent predictor with an odds ratio of 2.3 in trace elements (p=0.015). Conclusion The changes in trace element and toxic element levels, especially an increase in antimony and selenium, in placental tissue due to environmental exposure may play an important role in second-trimester abortion.

scholarly journals A clinical observational study on second-trimester abortion

2020 ◽  
Vol 9 (4) ◽  
pp. 1339
Author(s):  
Geetha Lakshmi R. ◽  
Bommireddy Pranavi ◽  
Neethu George ◽  
K. Saraswathi
Keyword(s):  
Observational Study ◽  
Gestational Age ◽  
First Trimester ◽  
Uterine Perforation ◽  
Second Trimester ◽  
Standard Regimen ◽  
Trimester Abortion ◽  
Second Trimester Abortion ◽  
The Difference ◽  
Health System Data

Background: Second-trimester abortion is an important component of the comprehensive women’s health care. Data’s regarding second-trimester abortion is still under-reporting. Though the percentage of induced second-trimester abortion is low, its morbidity is higher than the first-trimester induced abortion. The abortion related mortality usually increases with the age of gestation.Methods: A retrospective observational study was conducted in the department of obstetrics and gynecology at Sree Balaji Medical College and Hospital, Chennai, over a period of one year. The data were collected from the medical case records and we have analyzed on the epidemiology, etiologies, complications and the methods of second- trimester abortion using statistical analysis.Results: In this study, there was no standard regimen of mifepristone and misoprostol were used for second-trimester abortion.  The dosages were varied based on the gestational age of pregnancy. As the gestational age progresses, the amount of misoprostol required for the induction of second trimester abortion decreases and the difference is statistically significant. There was no reported case of rupture uterus, but varied complications such as post-abortal hemorrhage, retained placenta, need for blood transfusion, uterine perforation and one maternal death were reported during the study period.Conclusions: In order to reduce the morbidity and mortality of second trimester abortion, more policies and monitored services have to be rendered by the health system. Data regarding the second trimester abortion have to be improved. 

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