Induction of abortion by intrauterine bougie
Chandy, T.; Nair, V.R.
Journal of Obstetrics and Gynaecology of India 26(2): 234-236
1976
ISSN/ISBN: 0971-9202 PMID: 12334591 Document Number: 102712
On the initial visit, general and pelvic examinations were made, and hemoglobin and urine tests were given to 100 patients in the second trimester who came for abortion. On the 2nd visit, laminaria tents were inserted and systemic broad spectrum antibiotics given. 24 hours later, in the lithotomy position, the laminaria tents were removed and a sterile rubber bougie introduced extraovularly. When the patient aborted, vaginal examination was performed to assure completeness. In doubtful cases, curettage was performed. When there was an undue delay in abortion, evacuation or abdominal hysterotomy was performed. 86 patients were successfully aborted, 8 required abdominal hysterotomy, dilatation and evacuation was performed in 6 patients. The induction abortion interval varied from 5 hours, 20 minutes to 174 hours, with an average of 51 hours. In primigravidae (48), the interval was found to be 57 hours. Complications were minimal; 7 patients developed pyrexia and responded to systemic antibotics; 1 patient expelled the products through a tear in the posterior lip of the cervix. The average hospital stay was 5.6 days.