First-trimester legally induced abortions. The amount of aspirated tissue in relation to gestational age.
Arch Gynecol Obstet
; 249(3): 149-51, 1991.
Article
en En
| MEDLINE
| ID: mdl-1772267
ABSTRACT
PIP: A method for reducing complications from retained tissue requiring readmission after a legally induced 1st trimester abortion is evaluated. Prior attempts had been made to ascertain the reason for an annual 6% of 22,000 readmission rate. 117 women ages 18-42 years requesting legal abortion participated in this study at Bispebjerg Hospital, Copenhagen, Denmark. 47% were primagravida and the median age was 29.5 years. This study determined gestational age of 77-12 weeks by ultrasound for measuring crown-rump length. The abortion was performed by vacuum aspiration, followed by curettage and iv administration of oxytocin 10. Aspirated tissue was measured, after removal of blood clots, in a tube contain g 50 ml of water to eliminate air bubbles. Readmission due to infection or bleeding within the nest month was recorded. Tissue removed in a reevacuation was examined microscopically to ascertain placental or decidua tissue. The results of the analysis using Mann- Whitney's rank sum test for unpaired data revealed a significant difference in amount of aspirated tissue between 7-8 and 9-10 weeks (p.01) and also between 9-10 and 11-12 weeks (p.01). 5% or 6 patients were readmitted of whom 4.2% or 5 required a recurettage because of excessive bleeding. In 3 cases (2.5%) villi chorii were found on histological examination. 2 had a retroverted uterus and all 3 were 8-9 weeks gestation, 25 years, and primagravida. The retroversion would create more difficulty in emptying. It is recommended that retained tissue should be suspected when the amount of tissue after aspiration is 15 ml in the weeks 7-8, 25 ml in the weeks 9-10 and 35 ml in the weeks 11-12 of gestation.
Palabras clave
Abortion, Induced--complications; Curettage; Denmark; Developed Countries; Europe; Examinations And Diagnoses; Family Planning; Fertility Control, Postconception; Laboratory Examinations And Diagnoses; Methodological Studies; Northern Europe; Obstetrical Surgery; Research Report; Scandinavia; Surgery; Treatment; Vacuum Aspiration
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Edad Gestacional
/
Aborto Inducido
/
Feto
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Arch Gynecol Obstet
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
1991
Tipo del documento:
Article
País de afiliación:
Dinamarca
Pais de publicación:
Alemania