Everything about Instillation Abortion totally explained
Instillation abortion is a rarely-used method of
induced abortion, performed in the second trimester, by injecting a solution into the uterus to cause uterine contractions.
Procedure
Instillation abortion is performed by injecting a
chemical solution consisting of either
saline,
urea, or
prostaglandin through the
abdomen and into the
amniotic sac. The
cervix is
dilated prior to the injection, and the chemical solution induces
uterine contractions which expel the
fetus. Sometimes a
dilation and curettage procedure is necessary to remove any remaining tissue.
Usage
The method of instillation abortion was first developed in 1934 by Eugen Aburel. It is most frequently used between the 16th and 24th week of
pregnancy. Intrauterine instillation accounted for 0.8% of the total incidence of induced abortion in the United States during 2002. The use of such methods in the U.S. declined from 10.4% in 1972 to 1.7% in 1985. In 1968, abortion by the instillation of saline solution accounted for 28% of those procedures performed legally in
San Francisco, California.
In a 1998
Guttmacher Institute survey, sent to hospitals in
Ontario,
Canada, 9% of those
hospitals in the province which offered abortion services used saline instillations, 4% used urea, and 25% used prostaglandin. A 1998 study of facilities in
Nigeria which provide abortion found that only 5% of the total number in the country use saline.
Complications
Once in common practice, abortion by intrauterine instillation has fallen out of favour, due to its association with serious
adverse effects and its replacement by procedures which require less time and result in less physical discomfort.
Saline is in general safer and more effective than the other intra-uterine solutions because it's likely to work in one dose. However, it poses a risk of
medical emergency if it enters the
blood stream. Prostaglandin is fast-acting, but often requires a second injection, and carries more side effects, such as
nausea,
vomiting, and
diarrhea.
Dilation and evacuation is also reported to be safer than instillation methods. One study found that the risk of complications associated with the injection of a combination of urea and
prostaglandin into the
amniotic fluid was 1.9 times that of D&E.
Further Information
Get more info on 'Instillation Abortion'.
|
External Link Exchanges
Do you know how hard it is to get a link from a large encyclopaedia? Well we're different and will prove it. To get a link from us just add the following HTML to your site on a relevant page:
<a href="http://instillation_abortion.totallyexplained.com">Instillation abortion Totally Explained</a>
Then simply click through this link from your web page. Our crawlers will verify your link, extract the title of your web page and instantly add a link back to it. If you like you can remove the words Totally Explained and embed the link in article text.
As long as your link remains in place, we'll keep our link to you right here. Please play fair - our crawlers are watching. Your site must be closely related to this one's topic. Any kind of spamming, dubious practises or removing the link will result in your link from us being dropped and, potentially, your whole site being banned. |
