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  • Title: Some trends in the management of early induced abortion.
    Author: Lewis SC.
    Journal: J Obstet Gynaecol India; 1972; 22(4):411-7. PubMed ID: 12333104.
    Abstract:
    Outpatient vacuum aspiration abortions in several U.S. and British series are reviewed for the Indian audience where an abortion law similar to the British Abortion Act of 1967 was recently passed. The outpatient procedure does not require significantly more manpower and beds, since complications appear immediately or 3-7 days later; an outpatient clinic permits time for counseling and high turnover. Some clinics advise patients to abstain from food for 8 hours, but usually such preparations as shaving, enemas, and catheterization are omitted. Much discussion is devoted to the relative merits of preoperative tranquilizers, narcotics, oxytocics, para- or intracervical block, or no local anesthesia. Most operators felt that suction time and bleeding was lessened, although some pointed out that patient handling time and minor side effects were increased by these procedures. Complications, chiefly perforations (.04%), were usually due to inexperience or use of rigid instruments like sounds and Hegar dilators. The late complications of cervical incompetence and prematurity similarly were related to history of criminal abortion or use of rigid instruments rather than polyethylene Karman catheters for dilatation and curettage.
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