Abortion Induction in IInd trimester
Záhumenský J.1, Zmrhalová B.1, Maxová K.1, Hurt K.1, Stejskal D.2, Kulovaný E.2, Dvořák M.1, Sehnal B.1, Kolařík D.1, Šottner O.1, Driák D.1, Halaška M.1
1Gynekologicko-porodnická klinika 1. LF UK, FNB, Praha, přednosta prof. MUDr. M. Halaška, DrSc. 2Centrum lékařské genetiky a reprodukční medicíny Gennet s.r.o., Praha |
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Summary:
Study aim: Analysis of the set of women that underwent the termination of pregnancy in IInd trimester at
the OBGYN clinic, Teaching Hospital Na Bulovce at interval of years 2006–2007. We appreciated the
effect of method and compared with references in the literature.
Type study: Retrospective descriptive study.
Seatting: OBGYN clinic of the 1st faculty of Charles University, teaching hospital Na Bulovce, Prague.
Method: Retrospective analysis of the set of women that underwent termination of pregnancy in the IInd
trimester. Data are obtained from medical documentation and statistically processed. The analysis treats
with 50 cases, in all of them, cervix was prepared with hydrophile dilators. In 37 cases were subsequently
handed up prostaglandins intraamnially, in two cases generally intravenously, in two cases vaginally
and 9 pregnancies were finished directly by dilatation and curettage without endeavour about expulsion.
Results: From 37 women after intraamnial administration of prostaglandins, 35 (94.6%) aborted successfully.
Average time from amniocentesis to expulsion was 13 hours 45 minutes, 23 women aborted to 24
hours (62.2%). Undesirable effects were present in 12 cases (32.4%).
Conclusion: Our record of local intraamnial administration of prostaglandins appears to be effective
method. On the other hand, other methods are described in recent literature, which appear to be more
efficient and have smaller occurrence of adverse effects.
Key words:
induced abortion, IInd trimester, prostaglandins
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