Laceration of the ascending branch of the uterine artery: a complication of therapeutic abortion.
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Biomedical subjects
Publications and source records attributed to L T Hibbard.
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In Los Angeles County, almost one-third of abortion deaths are due to gas embolus. Whenever a gas or a gas-producing liquid is injected into a pregnant uterus, a fatal gas embolus is possible because the utero-placental bed is an open avenue to the maternal circulation. The usual sequence of events is collapse, rapidly followed by death. By the time the rescue squad is summoned, the patient is either dead or beyond possibility of resuscitation. In the six years 1962-1967 there were 27 gas embolus deaths associated with abortion in the Los Angeles area. All the women were the victims of ignorance or indifference. Wider public knowledge of this lethal danger is the only means by which mortality can be reduced.
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Postpartum sterilization in California is characterized by an absence of legal definition, by variations in the practices within communities and by differences of opinion as to the merits of alternative procedures. In one institution there seems to be good reason to stress postpartum tubal sterilization as being a safe and effective method of dealing with a group of patients for whom subsequent pregnancies carry a high risk. In other hospitals sterilization policies will vary according to local circumstances and needs.