Medical termination of midtrimster pregnancy in a community hospital.

PIP: 181 cases of patients (aged 12-43) who underwent a second trimester abortion (14-20 weeks gestation) by intraamniotic hypertonic saline or prostaglandin F2 alpha are presented for the purpose of evaluating methodologies. 61 patients had hypertonic saline infusion, 37 with Laminaria tents inserted and 24 without. 1 of the 24 cases represents a method failure which was completed surgically 2 days after infusion. Of the 37 patients treated with saline and Laminaria tent, there were no method failures. 122 patients had a prostaglandin infusion and Laminaria tent insertion, and 22 also had intraamniotic calcium gluconate. The 22 cases who received an intraamniotic prostaglandin and calcium infusion with a Laminaria tent had no failures. The prostaglandin group demonstrated a shorter infusion-abortion time (average, 17 hours). When calcium was added to prostaglandin, no potentiating effect was noted. Major complications, most notably retained placenta, were noted with the saline method. Prostaglandin proved the most effective and least risky procedure.^ieng

Endometriosis in laparotomy scars.

Endometriosis of laparotomy scars has been described as rare. Interruption of pregnancy by abdominal hysterotomy affords an opportunity for its development. The two cases which are reported were admitted to the hospital within one month, which suggests that this diagnosis may not be rare.