Premium
Uterine Perforation in Connection with Vacuum Aspiration for Legal Abortion
Author(s) -
Moberg Peter J.
Publication year - 1976
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/j.1879-3479.1976.tb00569.x
Subject(s) - medicine , vacuum aspiration , uterine perforation , curette , perforation , cervix , suction , abortion , uterine cavity , obstetrics , gynecology , surgery , pregnancy , uterus , family planning , research methodology , mechanical engineering , population , genetics , environmental health , biology , engineering , punching , materials science , cancer , metallurgy
The incidence of uterine perforation complicating vacuum aspiration for legal termination of first trimester pregnancy varies widely. Nineteen cases of perforation (0.64%) occurred 1967–1974 at the Department of Obstetrics and Gynecology, Karolinska Sjukhuset, Sweden. These cases were analysed and compared with 71 other reported uterine perforations. The dilator, suction curette and uterine sound were about equally the instrument responsible for perforation. The dilatation of the cervix is a critical point of the operation. In 22% the lesion was observed in the cervix‐isthmus. If this procedure could be replaced by administration of prostaglandins the number of perforations might be reduced. Correct judgement of uterine position and size immediately prior to operation appears to be of utmost importance.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom