Apr 9, 2005

Morbidity of dilatation and evacuation in the second trimester: an analysis

Gynäkologisch-geburtshilfliche Rundschau
E PauliR Zimmermann


To compare the rates of complications of dilatation and evacuation (D&E) in the second trimester of pregnancy. Retrospective analysis of early complications after D&E in the second trimester (group A: 1988-1994) in comparison with D&E in the first trimester (group B: 1997) and with the induction of abortion by extra-amniotic application of prostaglandins in the second trimester of pregnancy (literature). The overall complication rate of D&E was statistically significantly higher in the second than in the first trimester (p < 0.0001). The most frequent complication in both groups was a blood loss > 500 ml (p < 0.009). As with blood loss, there was a statistically significant increase in the incidence of postoperative bleeding (p < 0.001) and fever > 38 degrees C (p = 0.042) with rising gestational age, too. We registered similar rates for incomplete abortion, infection, cervical injury, uterine perforation and thrombosis. Second-trimester pregnancy termination with D&E is associated with higher morbidity rates than in the first trimester. Overall, the rates of complications of D&E in our study were acceptable and comparable with the results of previous studies. Compared with the induction of abortion by extra-amniotic prostaglan...Continue Reading

  • References21
  • Citations10


  • References21
  • Citations10


Mentioned in this Paper

Morbidity Aspects
Dilatation and Curettage
Incomplete Abortion Unspecified
Pathological Dilatation
Incomplete Spontaneous Abortion
Group B Streptococcal Pneumonia
Postoperative Hemorrhage
Blood Loss, Surgical
Uterine Perforation

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