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. 1979 Jun 30;123(26):1103-10.

[Induced abortion after the 12th week of pregnancy. I]

[Article in Dutch]
P E Treffers, J F Blacquière
  • PMID: 460460

[Induced abortion after the 12th week of pregnancy. I]

[Article in Dutch]
P E Treffers et al. Ned Tijdschr Geneeskd. .

Abstract

PIP: Of the 303 abortions performed in the second trimester in the Wilhelmia Gasthuis in Amsterdam between 1967 and 1977, 150 were performed by hypertonic saline solution instillation, 83 by hysterotomy, and 70 by prostaglandin administration. The instillation of saline solution is an acceptable method for inducing abortion in the second trimester. Blood loss exceeded 500 ml in 8.7% of the cases, transfusions were necessary in 4%. 26% of the patients required mechanical cervical dilatation. 14% developed temperatures above 38 degrees C. 3 cases of light hemolysis were observed; these occurred only among the first 13 patients. The saline solution instillation method showed a failure rate of 5.8% among the 150 patients. 24 patients were administered less than 150 ml of the 20% saline solution, while 125 were administered more than 150 ml. The interval between instillation and abortion was markedly shorter among the patients who were administered more than 150 ml. In 64.8% of a group of 71 patients, the fetal heartbeat stopped within 2 hours after instillation.

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