Subject(s)
Maternal Mortality , Pregnancy Complications/mortality , Adolescent , Adult , Chile , Female , Humans , Middle Aged , Pregnancy , Retrospective StudiesABSTRACT
PIP: From October 1968, 100 vacuum curettage procedures were performed at Felix Bulnes Hospital using a Sorensen aspirator specially designed for the purpose. The reasons for the intervention were chiefly complications of abortion but included cases of missed abortion, molar pregnancy, and metrorrhagia. The patients were 15-45 years old; the pregnancies varied from less than 4 weeks to 20 weeks. In the majority of cases, cervical dilatation was already sufficient to introduce the cannula. The fever, an indication of the seriousness of these cases, disappeared in 62% of the patients after the aspiration. There were no instances of local infection or of uterine perforation. The postprocedure hospital stay was from 2 to 4 days in most cases; 9% of the patients were hospitalized longer for causes unrelated to the procedure. Antibiotics were used on 20% of the patients before and on 40% after the procedure. This technique has proved painless, rapid, and does not per se produce greater hemorrhage.^ieng
Subject(s)
Curettage , Extraction, Obstetrical , Pregnancy Complications/surgery , Puerperal Disorders/surgery , Adolescent , Adult , Evaluation Studies as Topic , Female , Humans , Methods , Middle Aged , Parity , PregnancySubject(s)
Ovary/pathology , Pregnancy, Ectopic/pathology , Adult , Diagnosis, Differential , Female , Humans , PregnancyABSTRACT
PIP: 20% of the women receiving hospital treatment by the authors show excessive multiparity and their average age is 37.7. The maternal mortality rate is 6 per 10,000 deliveries among primiparous, 9 per 10,000 among multiparous and 12 per 10,000 among "highly multiparous" women. Hemorrhage, infection, toxemia and embolism constitute the greatest risks during puerperium. Subject to the consent of the patient , the authors propose tubal sterilization in the following cases: a) in all "highly multiparous" cases, i.e., women who have delivered 5 or more viable children; b) in all multiparous cases showing a dangerous placental insertion (placenta previa, placental accretion); c) in all hospital patients who are subjected to three caesarean interventions. They suggest caesarean laparotomy to perform the operation by Pomeroy or Madlener's method, or the early puerperium period for sterilization, bec ause it has proved to be a simple and safe method.^ieng
