Abortion Induction in IInd trimester

Czech version

Authors: J. Záhumenský ¹; B. Zmrhalová ¹; K. Maxová ¹; K. Hurt ¹; D. Stejskal ²; E. Kulovaný ²; M. Dvořák ¹; B. Sehnal ¹; D. Kolařík ¹; O. Šottner ¹; D. Driák ¹; M. Halaška ¹
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK, FNB, Praha, přednosta prof. MUDr. M. Halaška, DrSc. ¹; Centrum lékařské genetiky a reprodukční medicíny Gennet s. r. o., Praha ²
Published in: Ceska Gynekol 2008; 73(2): 118-122

Overview

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, II^nd trimester, prostaglandins

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