Open AccessUterine Rupture During Medical Induction for Second Trimester Abortion
Author(s) -
Rekha Poudel,
Ganesh Dangal,
Aruna Karki,
Hema Kumari Pradhan,
Ranjana Shrestha,
Kabin Bhattachan,
Nishma Bajracharya,
Kenusha Devi Tiwari,
Sonu Bharati
Publication year - 2020
Publication title -
journal of nepal health research council
Language(s) - English
Resource type - Journals
eISSN - 1999-6217
pISSN - 1727-5482
DOI - 10.33314/jnhrc.v18i2.2461
Subject(s) - medicine , misoprostol , mifepristone , medical abortion , abortion , obstetrics , uterine rupture , pregnancy , gestation , labor induction , gynecology , second trimester , uterus , oxytocin , genetics , biology
Medical induction is an alternative to dilatation and evacuation (D and E) in second trimester abortion, though it has higher risk of minor complications compared to D and E. Combination of mifepristone and misoprostol is commonly used for the medical abortion. A 32 years G3P2L2 with previous two cesarean delivery was referred to our center at sixteen weeks of gestation for termination of her pregnancy. After 63 doses of misoprostol, she had to undergo unintended major intra-abdominal surgery for partial uterine rupture. Keywords: Dilatation and evacuation; medical induction; second trimester abortion; uterine rupture.