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Related Experiment Videos

Continued pregnancy after failed first trimester abortion.

W L Fielding, S Y Lee, E A Friedman

    Obstetrics and Gynecology
    |July 1, 1978
    PubMed
    Summary
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    Unintentional continued pregnancy occurred in 46 of 65,045 first-trimester abortions. Early gestation, uterine anomalies, and careful tissue examination are key factors in preventing this complication.

    Area of Science:

    • Reproductive Medicine
    • Gynecologic Surgery
    • Obstetrics

    Background:

    • First-trimester abortion is a common gynecologic procedure.
    • Unintentional continued pregnancy, though rare, represents a failure of the procedure.

    Purpose of the Study:

    • To identify risk factors for unintentional continued pregnancy after first-trimester abortion.
    • To suggest methods for preventing this complication.

    Main Methods:

    • Retrospective analysis of 65,045 first-trimester abortions.
    • Identification of cases with unintentional continued pregnancy.
    • Analysis of patient and uterine characteristics.

    Main Results:

    • Forty-six cases of unintentional continued pregnancy were identified.
    Keywords:
    Abortion, Induced--complicationsAbortion, Saline SolutionAbortion, SpontaneousCurettageDiseasesFamily PlanningFertility Control, PostconceptionObstetrical SurgeryPregnancy ComplicationsPregnancy, First TrimesterResearch MethodologyRetrospective StudiesStudiesSurgeryTreatmentVacuum Aspiration--complications

    Related Experiment Videos

  • Greatest risk observed in patients with very early pregnancy, uterine anteversion/retroversion, or uterine anomalies.
  • Gestational duration and uterine size were significant factors.

    • Conclusions:

    • Careful attention to gestational duration and uterine size is crucial.
    • Thorough examination of evacuated tissue, including villi and fetal tissues, aids in prevention.
    • Identifying patients with specific uterine characteristics can mitigate risk.