While the protective nature of parity with respect to ovarian cancer has been well documented, whether a history of incomplete pregnancy affects ovarian cancer risk is uncertain. Data collected from 739 epithelial ovarian cancer cases and 1,313 community controls in the Delaware Valley from 1994 to 1998 were used to evaluate the relation between gestational length and timing of first induced or...

Side effects are an expected part of medical abortion; some, such as pain and bleeding, result from the abortion process itself and are generally managed with orally administered analgesics and counseling. True medication side effects most commonly include nausea, vomiting, diarrhea, and warmth or chills. Complications of medical abortion usually represent an extreme or severe side effect. Larg...

Before their 15th week of pregnancy 237 patients with a clinical diagnosis of threatened abortion were scanned ultrasonically with a Nuclear Enterprises Diasonograph NE4102. Donald's "full bladder technique" was used.1 Threatened abortion was diagnosed if fetal heart movement was identified.2 When this was not shown or if the features detailed by Donald et al.3 were present missed abortion was ...

conclusions misoprostol plus letrozole was more effective for inducing abortion in the first trimester of pregnancy compared to misoprostol alone. results the complete abortion rate was 69.7% in the misoprostol and letrozole group and 30.3% in the misoprostol group. incomplete abortion was 32.4% in the misoprostol and letrozole group, and 67.6% in the misoprostol group (p = 0.004). bleeding, ce...

OBJECTIVES To compare the efficacy, safety and cost effectiveness of Manual Vacuum Aspiration (MVA) with dilatation and curettage (DNC) in the management of early pregnancy failure. METHODS One hundred patients of spontaneous abortion, incomplete or missed, with gestational age <12 weeks were included in the study. Using a Random Number Table, these patients were assigned to undergo either DN...

The aim of this prospective study was to assess the efficacy of intra-cervical misoprostol in the management of early pregnancy failure. Twenty women with early pregnancy failure received intra-cervical misoprostol via an endometrial sampling cannula. The first dose was 50 μg of misoprostol dissolved in 5 ml of normal saline. The administration was repeated after 12 h if there was no vaginal bl...

OBJECTIVE Approximately 18% of maternal deaths in East Africa is attributable to unsafe abortion. Availability of comprehensive abortion care (CAC) services at all levels of the healthcare system, including medical abortion, has the potential to increase access to safe abortion thereby reducing the burden of unsafe abortion. This study sought to assess trends in abortion-related morbidity indic...

abortion with misoprostol differed substantially by gestational age: Ninety-nine percent of pregnancies of 12 or fewer weeks did not require manual vacuum aspiration after miso-prostol, compared with 26% of pregnancies of 13–14 weeks and 28% of pregnancies of 15–18 weeks. These successful cases included those in which ultrasound at the 15-day follow up revealed residue not requiring interventio...

2. Page 2/28Seems to be a big statement. I am not sure it is supported by existing evidence or justified from the literature review. Response: We thank the reviewer for this comment. In addition to generally strengthening the background, we revised this statement to read “There is limited published evidence about the status of HIV among women who have had abortions or suffered from abortion com...

OBJECTIVES To investigate the use of manual vacuum aspiration in postabortion care in Malawi between 2008-2012. METHODS A retrospective cross-sectional study was done at the referral hospital Queen Elisabeth Central Hospital, and the two district hospitals of Chiradzulu and Mangochi. The data were collected simultaneously at the three sites from Feb-March 2013. All records available for women...