XXXX in midtrimester abortions.

@entity1 @entity398 @entity397 @entity14853 @entity130
2 groups of @entity1 are at risk of traumatic complication after midtrimester abortion: older multiparous @entity1 ( @entity14853 ) and young primigravid @entity1 ( @entity397 ). While the occurrence of @entity14853 in the former class can be reduced by selective use of abortifacient agents, and avoidance of amnioinfusions and intravenous @entity398 , the occurrence of @entity397 continues to be high. From May 1974 through May 1978, 780 @entity1 underwent midtrimester abortion by various techniques. 12 @entity1 (1.5%) sustained cervical @entity130 , 11 of whom were nulliparous aged 16 to 25 years. Intra-amniotic and extra-ovular methods alike produced cervical @entity130 . The combined method of induction increases the likelihood of damaging the cervix. Oxytocic augmentation, however, does not appear to increase its incidence. Nor does a shorter induction-abortion interval, according to the evidence. Since laminaria tents did not prevent cervical @entity130 , none of the presently available methods offers any protection. Nevertheless, it may be that cervical @entity130 can be prevented if midtrimester abortions are undertaken between 13 and 15 weeks of pregnancy. @entity397 can also go unnoticed and cause future obstetric problems; the authors therefore emphasize the importance of routine cervical inspection in all @entity1 .
