Assuntos
Aborto Induzido/efeitos adversos , Acidentes , Miométrio , Solução Salina Hipertônica/administração & dosagem , Cloreto de Sódio/administração & dosagem , Adulto , Feminino , Humanos , Injeções , Masculino , Gravidez , Segundo Trimestre da Gravidez , Solução Salina Hipertônica/efeitos adversosRESUMO
This study was conducted in Bombay, India, to evaluate the role of oral methylergonovine maleate (Methergine, Sandoz Pharmaceuticals, East Hanover, N.J., USA) in augmenting the effect of intermittent extraamniotic instillation of 20% saline for midtrimester abortion in 200 patients. Methylergonovine maleate (MEM) administration was randomly allocated to half the study subjects. All the study procedures were performed by a single operator, and to minimize evaluator bias, another physician evaluated all the study patients after abortion. This study showed that a statistically significant higher percentage of patients in the MEM treated group aborted within 24 hours. At 36 and 48 hours, the differences were not statistically significant, although the cumulative abortion rates were higher for subjects who received the drug than for those who did not. The incidence of incomplete abortions was lower for those treated with MEM than for those not treated with the drug, but the difference was not statistically significant. The rates of complications and side effects were similar for both study groups.
Assuntos
Aborto Induzido , Metilergonovina/uso terapêutico , Segundo Trimestre da Gravidez , Aborto Induzido/efeitos adversos , Administração Oral , Avaliação de Medicamentos , Feminino , Humanos , Soluções Hipertônicas , Metilergonovina/administração & dosagem , Gravidez , Cloreto de Sódio/administração & dosagem , Cloreto de Sódio/uso terapêutico , Fatores de TempoRESUMO
A comparative study of the safety and effectiveness of metal (Purandare) versus plastic (Karman) cannulae for first trimester abortion was conducted on 400 women. Two hundred vacuum aspiration procedures were performed using each type of cannula. All aspirations were performed by a single physician, and patient follow-up was performed by a second physician. The complication rates, amount of retained tissue, rates of cannula obstruction and procedure times of the two cannulae were compared. Our findings showed no significant difference in any of these evaluation criteria for the metal and plastic cannulae.
Assuntos
Aborto Terapêutico , Cateterismo/instrumentação , Extração Obstétrica/instrumentação , Vácuo-Extração/instrumentação , Aborto Terapêutico/métodos , Cateterismo/efeitos adversos , Feminino , Humanos , Metais , Plásticos , Complicações Pós-Operatórias , Gravidez , Fatores de TempoRESUMO
PIP: Non-puerperal tubectomy is discussed for women in countries with high perinatal mortality. An operation through a midline perineal incision is described for simultaneous tubal ligation and repair of old perineal tear. The incision is made at the junction between the vagina and perineal skin. The vagina is separated upward with the rectum and large blood vessels underneath. After the Douglas pouch is reached, and the peritoneum identified, the incision is stretched laterally with 2 index fingers. Ligation is easily performed. The peritoneum is closed, excess vaginal flaps excised, the levator ani approximated in the midline, and the vaginal and peritoneal wounds closed.^ieng