Complications of 10,453 consecutive first-trimester abortions: A prospective study

Hodgson, Jane E.; Portmann, K

doi:10.1016/0002-9378(74)90584-5

Cited by 46 publications

(17 citation statements)

References 5 publications

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“…Failures occur with dilation and curettage (D&C), dilation and extraction (D&E), as well as with prostaglandin/medical terminations [Achelis, 1950;Hodgson and Portmann, 1974;Stringer et al, 1975;Stadler and Hardt, 1976;Pelosi et al, 1977;Wulff and Freiman, 1977;Fielding et al, 1978;Hardt et al, 1980;Hundsd€ orfer and Schultz, 1982;Collins and Mahoney, 1983;Jonas, 1985;Kaunitz et al, 1985;Barker and Wade, 1991;Steier and Bergsjø, 1992;Fonseca et al, 1993;Gonzalez et al, 1993Gonzalez et al, , 1998Peyron et al, 1993;Holmes, 1995;Ricciotti et al, 1995;Urquhart et al, 1997;Blanch et al, 1998;Sitruk-Ware et al, 1998;Jermy et al, 1999;P€ ohls et al, 2000;Willmott et al, 2008;Miller et al, 2009;Allanson et al, 2011]. Numbers do not exist for the failure of illegal or illicit attempts to terminate pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Estimates range from 0.02% to 0.07% when termination was under taken by dilation and curettage or dilation and extraction [Hodgson and Portmann, 1974;Pelosi et al, 1977;Wulff and Freiman, 1977;Fielding et al, 1978;Kaunitz et al, 1985;Barker and Wade, 1991;Steier and Bergsjø, 1992;Ricciotti et al, 1995;Sitruk-Ware et al, 1998;P€ ohls et al, 2000]. Data do not exist for FTP for manual vacuum extraction or for medical terminations, although clubfeet and arthrogryposis (multiple congenital contractures) have been reported in failed prostaglandin (medical) terminations [Collins and Mahoney, 1983;Fonseca et al, 1993;Gonzalez et al, 1993Gonzalez et al, , 1998Peyron et al, 1993;Urquhart et al, 1997;Blanch et al, 1998;Willmott et al, 2008;Miller et al, 2009], a frequency has not been established.…”

Section: Introductionmentioning

confidence: 98%

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Arthrogryposis (multiple congenital contractures) associated with failed termination of pregnancy

Hall

2012

American J of Med Genetics Pt A

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The purpose of this study was to establish whether an increase in failed termination of pregnancy is observed among individuals with arthrogryposis (multiple congenital contractures). A total of 2,500 unselected patients with arthrogryposis collected by the author over a 35-year period were reviewed. The cases included referrals, consultations, personal examinations, and correspondence. They were reviewed for clinical features, pregnancy complications, family history, and a history of attempted terminations of the pregnancy. Eleven cases of failed terminations of pregnancy in which the individuals were subsequently born with arthrogryposis were identified. We conclude that infants who survive attempted termination of pregnancy (both surgical and medical) may be at an increased risk to be born with multiple congenital contractures. Careful examination of the tissue and a post-procedure ultrasound will help to assure that the termination has been successful. Those infants surviving attempted termination of pregnancy who have arthrogryposis are also at >50% risk for intellectual disability.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Arthrogryposis (multiple congenital contractures) associated with failed termination of pregnancy

Hall

2012

American J of Med Genetics Pt A

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“…The prevalence of hysterectomy for complications arising from first trimester abortion has been reported to be between 0.01 to 0.7% (Sood 1971 1971;Hodgson & Portmann 1974) and no pathological lesions to account for the complications were identified. The prevalence of hysterectomy for complications arising from first trimester abortion has been reported to be between 0.01 to 0.7% (Sood 1971 1971;Hodgson & Portmann 1974) and no pathological lesions to account for the complications were identified.…”

Section: Discussionmentioning

confidence: 99%

A rare late complication of first trimester induced abortion requiring hysterectomy‐subinvolution of the placental bed

LEE¹,

Bevan²,

Marley³

1986

BJOG

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A 25-year-old single woman, pregnant for the second time, was admitted to hospital for an induced abortion at 12 weeks gestation. She had had a normal pregnancy 6 years previously. There was no history of any menstrual disturbance or bleeding tendencies. The pregnancy was terminated by suction and sharp curettage with no immediate complications and she was discharged using Eugynon 30 for contraception. Nine weeks after the termination she was admitted again because of heavy vaginal bleeding. On examination she was apyrexial and not shocked. The uterus was bulky, not tender with an open cervix. The haemoglobin was 13.0 g/dl. An ultrasound scan showed small irregular cystic areas in the uterine fundus of unclear significance. A uterine curettage yielded scanty tissue which consisted of blood clot and a small fragment of endometrium showing pseudo-decidualization on microscopy. Endometritis was the assumed diagnosis and antibiotics were prescribed.Thirteen weeks after the induced abortion, she was again admitted with sudden heavy vaginal bleeding. On this occasion the uterus was of normal size and the 0s was closed. The bleeding subsided spontaneously and she returned home. Two weeks later she was readmitted with irregular vaginal bleeding and flooding. She was not shocked, but pale. The cervix

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“…The incidence varies from 0.4% to 2.9% [147][148][149][150] in the first trimester, and may be as much as four times this after 12 weeks gestation [148]. These present as a heavy vaginal blood loss, associated with lower abdominal pain.…”

Section: Early Complicationsmentioning

confidence: 99%

Abortion

Filshie¹

1989

Contraception

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Complications of 10,453 consecutive first-trimester abortions: A prospective study

Cited by 46 publications

References 5 publications

Arthrogryposis (multiple congenital contractures) associated with failed termination of pregnancy

Arthrogryposis (multiple congenital contractures) associated with failed termination of pregnancy

A rare late complication of first trimester induced abortion requiring hysterectomy‐subinvolution of the placental bed

Abortion

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