MANAGEMENT OF UTERINE PERFORATION FOLLOWING ELECTIVE ABORTION

  • 1 January 1977
    • journal article
    • research article
    • Vol. 50  (6) , 647-650
Abstract
Experience is reported with 28 uterine perforations encountered from June 1, 1973-June 1, 1976, among 20,000 1st trimester abortion patients at Reproductive Health Services, St. Louis, Missouri [USA]. In order to prevent this complication, one must perform an exacting pelvic examination. The use of a sound is controversial. Dilators should be introduced only a short distance through the internal os, and as much of the products of conception as possible should be aspirated. A sharp curette should be used diagnostically. Various questions should be asked before the operator contructs a scheme for managing perforation. The current policy for management used at this clinic is outlined.

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