Intraamniotic infusion of hypertonic saline through cervical os. Preliminary report on fifteen cases.

The use of intra-amniotic hypertonic saline for termination of pregnancy in second trimester has become fairly established. Whereas, the literature deal with the method of infusion through the abdominal route, very few are on the approach through vaginal route. Fuchs (1967) preferred vaginal instead of abdominal route between thirteenth to twentieth weeks of pregnancy. He has described the technique of infusion by approaching the anterior vaginal fornix and then piercing the cervical tissue of the anterior lip. Nabriski et al, (1971) have mentioned the name oi'Boero who followed the technique of approach through the posterior fornix. Nabriski et al, (1971) have tried intraovular injection of rivanol through cervical canal for interruption of pregnancy. Similarly Bjorn (1972) has reported intra-amniotic infusion of hypertonic Galine through cervical canal by a Foley Cathetar. The abdominal method cardes the potential risk of intestinal injury, peritoneal infection and intramyometrial injection. The approach through the anterior fornix carries the risk of infu-