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At least 541 records · Page 30Linked to original sources
PubMed1977

Why 103 women asked for reversal of sterilisation.

Between 1975 and 1976 103 women requesting sterilisation reversal were interviewed at Hammersmith Hospital. Their average age at sterilisation was 26-7 years; 65 (63-1%) had been sterilised immediately after pregnancy, and many patients had previously used contraception inadequately when they were sterilised. When they had been sterilised 78 (75-7%) patients were unhappily married and remarriage was the chief reason for the request for reversal. Sexual dissatisfaction after sterilisation was common, but there was no obvious increase in menstrual disturbance. Thirty-nine (37-8%) patients had been sterilised by irreversible methods, and in only half the cases sterilised by tubal ligation were conditions technically suitable for reversal surgery. It therefore seems unwise to sterilise women under 30 particularly immediately after pregnancy or if their marriage is in jeopardy.

Adult↗
PubMed1993

Endovaginal US and Doppler findings after first-trimester abortion.

Endovaginal ultrasound (US) imaging and color Doppler flow imaging techniques were used to evaluate the uterus and its contents and to establish characteristics of a normal post-abortion appearance in 19 women who underwent elective first-trimester abortions. Twenty-two examinations were performed between 2 and 17 days after the procedure. Thirteen of the 22 examinations (59%) showed different amounts of intrauterine material of varying echogenicity. Seven of the 22 examinations (32%) showed a thick endometrial stripe, and only two showed a normal stripe. Color Doppler flow imaging demonstrated typical peritrophoblastic flow in four of eight patients on the second and third days after the abortions were performed. After the third day, flow was observed in only two of 11 patients, and intrauterine material was also seen. These results indicate that intrauterine material and low-impedance flow are frequently observed after an abortion and do not necessarily indicate clinically important retained products of conception.

Abortion, Induced↗
PubMed1984

Abortion and subsequent pregnancy.

Two hundred and fifty-four women were followed from the second trimester of pregnancy until twelve months postpartum. Of these women, twenty-eight had had a prior therapeutic abortion and 216 women had no previous abortion. During their pregnancy and the postpartum period, the women completed a series of psychological and attitudinal measures. Analysis revealed that there were no significant differences between the two groups in terms of their demographic status, their obstetric experience or attitudes towards labour and birth. The study failed to demonstrate a relationship between anxiety during pregnancy and a prior abortion, nor were there any indications of inadequate maternal functioning. Women who had a prior abortion scored higher on the autonomy and nurturance subscales of the Personality Research Form, and had higher levels of depressive affect in the third trimester of pregnancy and in the postpartum period.

Abortion, Therapeutic↗
PubMed2000

Immediate post-abortal insertion of the frameless GyneFix IUD: initial experience in China.

The promising results obtained with the frameless GyneFix IUD for interval insertion led to the belief that the technology could be useful for immediate post-abortal application to reduce the number of induced and repeat abortions. IUDs have many advantages and the method is acceptable and safe. However, side effects and expulsion of conventional IUDs remain a problem. In an attempt to minimise these problems, the frameless GyneFix IUD was developed. Clinical studies conducted over the past 14 years have shown that the principles on which the device is based are valid. An increasing bulk of clinical evidence shows that the design characteristics of the device (fixed, frameless and flexible) are responsible for the low expulsion, high effectiveness, and high tolerance and continuation rates.1 Experience with the frameless IUD in China since 1989 confirms the international experience with the device. The present communication is a second report from China with the GyneFix IUD. In the present study the GyneFix IUD is inserted immediately following termination of pregnancy of less than 10 weeks amenorrhea. It is concluded that immediate post-abortal insertion of the frameless IUD is easy and safe, and appears to be as reliable and as effective as when it is inserted at interval. The GyneFix IUD could, therefore, constitute an important new option in the prevention of abortion.

Abortion, Induced↗
PubMed1984

Three years of experience after post-abortal insertion of Nova-T and Copper-T-200.

The results of 3 years of follow-up of a randomized comparative study of 331 women who had an IUD inserted immediately after a first-trimester legal abortion are presented. In one group of women, 172 Nova-T were inserted and in another, 159 Copper-T 200. There was no statistically significant difference between the two groups, though the pregnancy rate for Nova-T was considerable lower than for Copper-T 200. The overall performance of the IUD equals that in a larger material of more than 1 800 insertions, both post menstrual and post abortal , of which this study is a part.

Abortion, Induced↗
PubMed1987

Late sequelae after laparoscopic sterilization in the pregnant and non-pregnant woman.

To determine the frequency of late sequelae after laparoscopic sterilization performed at the time of induced abortion, we compared data on 114 women who underwent induced first-trimester abortion and concurrent laparoscopic sterilization, with 288 women who had sterilization performed at least 3 months after induced abortion. The period of observation was 12-95 months, median 49 months. We found no statistical difference between the groups with respect to failures, low abdominal pain, dyspareunia, change in bleeding pattern, sexual life and regrets. The results of these findings, discussed here, support the practice of performing the combined procedure.

Abortion, Induced↗
PubMed1992

Women's evaluation of three early abortion methods.

Today several very early abortion methods are available; effective and safe, medical as well as surgical. The aim of the present study is to estimate women's attitudes towards three early abortion methods, to see if one or several of these methods are preferable--or best avoided--for psychological reasons, and to assess if women of a certain social or psychological background would benefit from a specific abortion method. Three groups of women were interviewed two weeks after a first trimester abortion; 1/43 women having an 'ordinary abortion' with preoperative ripening of the cervix followed by a vacuum aspiration under heavy sedation, 2/40 women having a modified Karman exeresis with a paracervical block, 3/45 women having a medical abortion with RU 486 and prostaglandin. There was a noticeable difference in the effect the three abortion methods had on the women taking part in the study. Women with a medical abortion reported more bleeding and somewhat more pain and moral considerations than the other women, but also a relief to be spared a surgical procedure. Most of the women said they preferred the abortion method they had just experienced. A short waiting time appeared to be more important than whether a surgical or a medical method was used. Which abortion method is the best in each case is dependent on a variety of personal reasons, and can only be decided by each woman, in consultation with her doctor.

Abortion, Induced↗
PubMed1994

Psychological responses following medical abortion (using mifepristone and gemeprost) and surgical vacuum aspiration. A patient-centered, partially randomised prospective study.

BACKGROUND: A substantial body of objective data now exists to support the consensus view that induced abortion results in a low incidence of psychiatric morbidity. However, these data do not include more recent advances in abortion technology. Medical abortion entails a participatory role on the part of the woman, who may perceive more pain or see products of conception. The physical and psychological events experienced by women undergoing this procedure may lead to differences in psychopathology. METHODS: 363 women undergoing legal induced abortion up to 63 days gestation were allocated by a prospective partially randomised design to undergo medical abortion (using mifepristone 600 mg followed 48 h later by gemeprost 1 mg vaginal pessary) or vacuum aspiration performed under general anesthesia. This study design allowed women with a preference for a particular method to undergo that method; women without preferences were allocated at random. Women completed sensitive and reliable psychometric instruments (the Hospital Anxiety and Depression Scale and a semantic differential rating scale designed to measure self-esteem) prior to abortion and 16 days later. RESULTS: There were no significant differences between women allocated at random to medical abortion or vacuum aspiration in post-abortal anxiety, depression or low self-esteem. Women with high levels of mood disturbance prior to abortion, who were smokers or who had medical complications following abortion were at highest risk of post-abortal mood disorder. CONCLUSIONS: Medical abortion is a psychologically safe as surgical vacuum aspiration. The quantitative findings of the study support the consensus view that abortion is associated with high incidence of psychological benefit, whichever method is used.

Abortifacient Agents, Nonsteroidal↗
PubMed1980

Ectopic pregnancy after sterilization.

In a retrospective survey of 24 cases of ectopic pregnancy after sterilization it was found that, in most cases, there was a delay in diagnosis of ectopic pregnancy because of the history of previous sterilization. The sterilization operation was commonly performed post partum or after abortion. Patients who had been sterilized by laparoscopic tubal cautery were more likely to have ruptured ectopic pregnancy with acute blood loss and shock than those who had open tubal ligation which was associated with a more chronic form of this condition.

Adult↗
PubMed1989

Post abortion syndrome.

While many would debate the very reality of Post Abortion Syndrome, the author of this article has experienced Post Abortion Syndrome first hand. Excerpted from a speech she gave before a Florida meeting of the National Organization of Episcopalians for Life (NOEL), the article outlines the various stages and symptoms of Post Abortion Syndrome: denial, repression, guilt, anxiety, depression. She then describes the process for healing and recovery, and presents a model for a Post Abortion support group which is patterned after Alcoholics Anonymous.

Abortion, Induced↗