An historical review of criminal abortion

Williams, David; Pritchard, Angus; Ansford, Anthony J.

doi:10.1016/s0379-0738(00)00277-2

Cited by 2 publications

(5 citation statements)

References 4 publications

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“…Criminal abortion is rare in developed countries but increasing in developing countries [13]. The very high mortality rate of criminal abortion (228/1000) in low-income countries is related to cultural, religious, and socioeconomic conditions [1,6,7].…”

Section: Discussionmentioning

confidence: 99%

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Criminal Autoabortion by Piercing the Abdomen with a Knitting Needle: A Case Report

Hrgović¹,

Vlahovie²,

Bobie-Vukovie³

et al. 2002

Geburtsh u Frauenheilk

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Eine 45-jährige Hausfrau wurde in der 22. Schwangerschaftswoche mit Unterleibsschmerzen eingeliefert. Die Patientin gab an, dass der Schmerz vor fünf Tagen, nach einem Sturz, eingesetzt und sich während der letzten beiden Tage verschlimmert habe und wirkte ängstlich und erregt. Die klinische Untersuchung ergab die tastbare Spitze eines metallischen Fremdkörpers an der vorderen Abdominalwand. Der sonographische Befund war eine normale Schwangerschaft in Übereinstimmung mit den Amenorrhödaten. Die Plazenta war in vorderer Position und der Aspekt des Fötus normal. Ein schmaler metallischer Gegenstand befand sich entlang der vorderen Uteruswand. Laparotomie der unteren Hälfte zeigte eine Perforation des Uterus mittels einer 7 cm langen Stricknadel. Es erfolgte eine Hysterektomie mit linksseitiger Adnexektomie, weil keine Hämostase erreicht werden konnte. Es wurden eine antibiotische Behandlung und Tetanusprophylaxe eingeleitet. Der Eingriff war postoperativ ereignislos. Die Patientin wurde in gutem Zustand am 13. postoperativen Tag entlassen. Der hinzugezogene Psychiater beurteilte die Patientin als ¹einfache Persönlichkeitª mit psychogenen Reaktionen. Schlüsselwörter Krimineller Abort´SelbstabtreibungAbstract A 45-year-old housewife was admitted in the 22nd week of gestation because of abdominal pain. The patient stated that the pain began after a fall five days previously and increased during the last two days. The patient was anxious and agitated. Clinical examination showed the palpable tip of a metal foreign body on the anterior abdominal wall. Ultrasonography showed a normal pregnancy consistent with the dates of amenorrhea. The placenta was situated anteriorly and the fetus appeared normal. A thin metal object was seen along the anterior uterine wall. Lower midline laparotomy revealed uterine perforation by a 7-cm knitting needle. Hysterectomy with left-sided adnexectomy was performed because hemostasis could not be established. Antibiotic treatment and tetanus prophylaxis were administered and the postoperative course was uneventful. The patient was discharged from the hospital in good condition on the 13th postoperative day. A psychiatrist described a simple personality with psychogenic reactions.

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Section: Discussionmentioning

confidence: 99%

“…It can be performed by lay persons, nurses, midwives, gynecologists or other physicians. Lay persons usually initiate abortion with primitive, nonsterile mechanical or chemical means [2,10,13]. Abortion is rarely initiated by the pregnant woman herself (autoabortion).…”

Section: Introductionmentioning

confidence: 99%

Criminal Autoabortion by Piercing the Abdomen with a Knitting Needle: A Case Report

Hrgović¹,

Vlahovie²,

Bobie-Vukovie³

et al. 2002

Geburtsh u Frauenheilk

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“…Furthermore, injuries that are deliberately self‐inflicted are common, and their examination is a frequent task for both pathologists and clinical practitioners. Many methods, whose objective is to cause the death of the fetus and its expulsion, are described in the literature . Among these methods, a wide variety of substances (which can be applied locally or administered orally or parenterally) are described .…”

mentioning

confidence: 99%

“…Many methods, whose objective is to cause the death of the fetus and its expulsion, are described in the literature . Among these methods, a wide variety of substances (which can be applied locally or administered orally or parenterally) are described . The self‐administration of medicines is common practice in terminating pregnancy and inducing illegal abortion .…”

mentioning

confidence: 99%

“…Among these methods, a wide variety of substances (which can be applied locally or administered orally or parenterally) are described . The self‐administration of medicines is common practice in terminating pregnancy and inducing illegal abortion . The legal situation of abortion in a country does not influence the abortion rate, but illegality is associated with a much greater risk of complications and death.…”

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confidence: 99%

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A Case of Toxic Shock due to Clandestine Abortion by Misoprostol self‐administration

Cittadini

Loyola

Caradonna³

et al. 2014

Journal of Forensic Sciences

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Maternal mortality and morbidity are the leading causes of death and illness, respectively, among women of reproductive age in many countries throughout the world. Of all maternal deaths, those related to unsafe abortions are the most widely underestimated, but they are also the most largely preventable. Medical abortion is a safe and reliable method for termination of a pregnancy in early gestation, although it is important to be aware of signs and symptoms of severe infection and toxic shock syndrome after the medical termination of pregnancy; case studies in literature are rarely fatal events. We report the first case of septic shock syndrome following a clandestine pregnancy termination with a misoprostol-only regimen (12 tablets 200 μg each). Autopsy findings and histopathological examination proved that the woman died from septic shock. This case suggests to improve the forensic investigations in case of unsafe, often clandestine, abortion is suspected.

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An historical review of criminal abortion

Cited by 2 publications

References 4 publications

Criminal Autoabortion by Piercing the Abdomen with a Knitting Needle: A Case Report

Criminal Autoabortion by Piercing the Abdomen with a Knitting Needle: A Case Report

A Case of Toxic Shock due to Clandestine Abortion by Misoprostol self‐administration

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