Second Trimester Pregnancy Termination
Marc J. N. C. Keirse
Springer Netherlands, Feb 28, 1982 - Medical - 220 pages
Views and attitudes. towards termination of pregnancy have shown con siderable evolution over the past few decades. Along with these changes has come a growing concern to adopt means and methods which could make termination easier, safer and more effective. In this evolution, termination in the second trimester in par~icular is notable as being responsible for a dis proportionate share ofthe complications and adverse experiences associated with pregnancy termination. Although the almost universal shift towards earlier abortion has reduced the number of second trimester procedures as a percentage of the whole, the problems of interrupting pregnancy in the second trimester remain conspicuous. Delay in either seeking or obtaining abortion is still, in many parts of the world, all too frequent. AdditiDnally, recent developments in the prenatal diagnosis of fetal malformations, alphafeto protein screening programmes and changes in the pattern of and approaches to intrauterine fetal death now also place greater emphasis on the need for adequate methods of interrupting pregnancy in the second trimester. Unlike the first trimester in which vacuum aspiration is universally con sidered to be the method of choice, in the second trimester of pregnancy the clinician is faced with alternatives; one method may be more appropriate than another in a particular circumstance and no single method is unequivocall~ accepted as best. Neither do second trimester terminations form a neatly defined single category.
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1982 Martinus Nijhoff abortifacient abortion procedures amniotic anesthesia aspirotomy Bennebroek Bennebroek Gravenhorst Berger GS catheter cervical dilatation clinical complication rate contraception curettage delay diarrhoea dilatation and evacuation dose effects ester forceps gestational age glandins Hague/Boston/London hemorrhage hospital hydatidiform mole hypertonic hypertonic saline hysterotomy incidence increased induced abortion injection intramuscular intrauterine foetal death Karim SMM Keirse MJNC laminaria laparoscopy legal abortions M.J.N.C. Keirse management of intrauterine mean menstrual method methyl methyl ester metreurynter midtrimester abortion missed abortion molar pregnancy morbidity natural prostaglandins Obstet Gynecol occur oxytocic oxytocin patients performed PGE2 PGF2 placental prosta prostaglandin analogues prostaglandin F2 Ratnam reported risk Rivanol second trimester abortion Second Trimester Pregnancy second trimester procedures sequelae side-effects sterilization studies subsequent success rate sulprostone Table technique termination of pregnancy tion trimester of pregnancy Trimester Pregnancy Termination trimester threshold ug/min uterus vacuum aspiration vaginal administration vomiting weeks gestation women