Management of uterine perforations suffered at elective abortion

Nathanson, Bernard N.

doi:10.1016/0002-9378(72)90868-x

Cited by 31 publications

(9 citation statements)

References 6 publications

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“…Over the years, reports have associated a retroflexed uterine position with an increased surgical complication rate (eg, uterine perforation). It was already reported 30 years ago that a retroflexed uterine position increases the risk of perforation during curettage, and that finding still holds true . A well‐designed study including 9344 first‐trimester vacuum aspiration abortions found that fundal and anterior wall perforations were most common, and in 59.4% of these cases, the uterus was retroverted .…”

Section: Discussionmentioning

confidence: 98%

“…It was already reported 30 years ago that a retroflexed uterine position increases the risk of perforation during curettage, and that finding still holds true. 8,9 A well-designed study including 9344 firsttrimester vacuum aspiration abortions found that fundal and anterior wall perforations were most common, and in 59.4% of these cases, the uterus was retroverted. 10 Although in many cases perforations are innocuous, some lead to infections, hemorrhage, and trauma to other abdominal organs.…”

Section: Discussionmentioning

confidence: 99%

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Cesarean Delivery Changes the Natural Position of the Uterus on Transvaginal Ultrasonography

Agten

Honart

Monteagudo

et al. 2017

J of Ultrasound Medicine

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Cesarean Delivery Changes the Natural Position of the Uterus on Transvaginal Ultrasonography

Agten

Honart

Monteagudo

et al. 2017

J of Ultrasound Medicine

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“…We found relatively few perioperative complications in the present material. The figures for perforation (0.5%) are higher than those reported by some others (6,9,12,16,17,19), but none of the perforations caused any additional damage. Three out of the 5 perforations occurred in cases of early pregnancy ( s 8 weeks).…”

Section: Discussionmentioning

confidence: 51%

Therapeutic abortion: the 1975 report from ullevål hospital

Jerve¹,

Fylling²

1978

Acta Obstet Gynecol Scand

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The results from a prospective study of 1228 therapeutic abortions (the 1975 material) are reported. First trimester pregnancies (1028 cases) were terminated by suction and curettage and second trimester pregnancies by prostaglandins (200 cases). The overall follow-up (4-6 weeks after termination) was 94.3%. The incidence of perforation was 0.5% of the surgical terminations, none of which, however, resulted in any other complications. The mean incidence of re-admission was 3.9%, the main causes being retained products or pelvic infection. The mean incidence of pelvic infection (salpingitis/parametritis) was 1.6%. The highest incidence of pelvic infection was found in early pregnancies (less than 8 weeks) or nulliparous women (2.7%) and the lowest (1.5%) in the induction group.

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“…Incidence of uterine perforation varies from 0.4 to 15 per 1000 abortions as reported by different studies [2] . Majority of them occurs in the hands of untrained and unqualified health professionals.…”

Section: Discussionmentioning

confidence: 98%

Vaginal evisceration as rare but a serious obstetric complication: A case series

Chandi

Jain

Yadav

et al. 2016

Case Reports in Women's Health

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IntroductionGut prolapse through vagina is rare complication with only few cases reported in the literature. This article highlights untrained professionals induced obstetrical trauma as a cause of vaginal evisceration leading to serious but preventable complications.Presentation of CaseCase 1: A 27 years old female, P2L0, had full term vaginal delivery of an IUD baby and presented 4 days later with small bowel evisceration through posterior vaginal wall. Case 2: A 24 years old female, P1A1 had underwent unsafe abortion and presented in shock, with small bowel evisceration through anterior uterine wall. Case 3: A 26 years female, P2A1, underwent evacuation for incomplete abortion and presented with omental prolapse through anterior uterine wall.DiscussionObstetrical trauma with associated evisceration of intraabdominal contents is a potentially serious complication that requires surgical intervention. General awareness may decrease these unsafe practices and thus would have impact in reducing maternal morbidity and mortality.

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Management of uterine perforations suffered at elective abortion

Cited by 31 publications

References 6 publications

Cesarean Delivery Changes the Natural Position of the Uterus on Transvaginal Ultrasonography

Cesarean Delivery Changes the Natural Position of the Uterus on Transvaginal Ultrasonography

Therapeutic abortion: the 1975 report from ullevål hospital

Vaginal evisceration as rare but a serious obstetric complication: A case series

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