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  • Title: Early complications after induced first-trimester abortion.
    Author: Heisterberg L, Kringelbach M.
    Journal: Acta Obstet Gynecol Scand; 1987; 66(3):201-4. PubMed ID: 3661126.
    Abstract:
    Complications subsequent to 5,851 consecutively induced first-trimester abortions during the period 1980-85 were analysed. Three hundred and fifty-six abortions (6.1%) led to complications requiring hospital admission. According to bivariable analysis, women below 25 years of age, women with parity 0, women with no spontaneous and with no induced abortions, and women in gestational week 8 had significantly higher postabortal complication rates than women 25 years of age and older (p less than 0.001), women with previous births (p less than 0.0001), women with spontaneous abortions (p less than 0.005), women with induced abortions (p less than 0.005), and women in other gestational age groups (p less than 0.0005). The mean stay in hospital per complicated abortion was 5.3 days. It was discussed whether the administration of prophylactic antibiotics to women with a history of pelvic inflammatory disease and young women completing their first pregnancy could reduce the complication rate. The number of complications subsequent to 1st trimester abortion performed during the past 6 years at the Department of Gynecology and Obstetrics, University Hospital, Copenhagen, at Hvidovre, were evaluated. The associations between the women's age, obstetric history, gestational age, and the rate of early postabortal complications were analyzed. The number of hospital days spent because of such complications was calculated. All 1st trimester abortions performed at University Hospital during the January 1980 to November 1985 period were included. All procedures were performed under general anesthesia by dilatation with Hegars dilators and vacuum aspiration after cleansing of the perineum and vagina. Following aspiration, blunt curettage was performed to ensure that the uterine cavity was empty. Intravenous doses of methylergometrin 0.2 mg were administered. 85% of the women were discharged the same day and 15%, mostly for social reasons, on the following day. 5851 1st trimester abortions were performed. 356 abortions (6.1%) were complicated by 1 or several of the following complications: pathologic bleeding with or without recurettage; temperature; pelvic inflammatory disease (PID) requiring antibiotic therapy; uterine perforation; cervical injury requiring suture; continued pregnancy; and readmission without therapy. The distribution of complications in the 356 women showed significantly more complications in women in the age groups younger than 19 and 20-24 years than in other women. For 353 women, the distribution showed significantly more complications in women with parity 0 vis-a-vis parity greater than 1. In 353 and 354 women, respectively, there were significantly more complications in women with no previous spontaneous or induced abortion than in women with 1 or more spontaneous or induced abortions. In 356 women the distribution showed significantly more complications in women in gestational week 8 than in other women. Only 1 woman required blood transfusion because of perioperative bleeding. 1889 hospital days were registered following 356 complicated abortions. The total complication rate of 6.1% compares favorably with the results of recent large investigations of abortion populations.
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