Uterine perforation following medical termination of pregnancy by vacuum aspiration.

Abstract

Out of 9344 first trimester elective abortions performed by vacuum aspiration, 37 uterine perforation cases occurred. The suction cannula was responsible for more than 50% of perforations. All cases were multiparous. In 56.8%, the duration of gestation was 6 weeks or less. One third of the cases had a history of child birth within the previous 6 months. Fundal and anterior wall perforations were most common. Cases with a retroverted uterus had a higher incidence of perforation (59.4%) than those with an anteverted uterus (32.4%). Exact pelvic assessment and proper technique and case management are important for preventing perforation.

• Authors: S Mittal, S L Misra
• Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (Int J Gynaecol Obstet) Vol. 23 Issue 1 Pg. 45-50 (Feb 1985) ISSN: 0020-7292 [Print] United States
• PMID: 2860032 (Publication Type: Journal Article)

Topics

• Abortion, Induced (adverse effects)
• Adult
• Dilatation and Curettage (adverse effects)
• Female
• Humans
• Parity
• Pregnancy
• Uterine Perforation (etiology)
• Uterine Rupture (etiology)
• Vacuum Curettage (adverse effects, instrumentation)