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. 1979 Apr;29(2):295-8.

Management of failures following extra-amniotic terminations

E S Shah, A C Mehta
  • PMID: 12335896

Management of failures following extra-amniotic terminations

E S Shah et al. J Obstet Gynaecol India. 1979 Apr.

Abstract

PIP: In 35 out of 162 women who had their pregnancies terminated (11-15 weeks' gestation) by extraamniotic procedures, the primary procedure failed to expel the fetus at the end of 72 hours. A second procedure for the failed cases utilized the following methods: laminaria tents followed by curettage in 15 cases, dilatation and curettage in 6, extraamniotic instillation 9, extraamniotic of 20% saline in 3, intravenous oxytocin in 2. Selection of procedure of each case depended on size of uterus, state of the cervix and infection. Complications experienced by the patients included perforation of the uterus, infection, incomplete abortion, and vomiting. Routine antibiotics were given to the patients. The following observations were noted: 1) laminaria tents followed by curettage is an efficient method; disadvantages are infrequent unaavailability and costs of the tent; 2) dilatation and curettage is a quick method, but it requires formal anesthesia and tends to result in greater blood loss; 3) disadvantages of extraamniotic prostaglandin are that it results in complete abortions, has too many side effects and is unavailable in India; 4) extraamniotic saline and intravenous oxytocin appear promising but necessitate further investigation.

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