title: Legal termination of pregnancy at the Kenyatta National Hospital using prostaglandin F2 alpha in mid trimester.
abstract: This study describes 58 cases of legal termination of pregnancy done in the acute gynaecology ward, Kenyatta National Hospital (KNH), Nairobi, over a 4 year period. The ward handles 20-40 new cases of incomplete abortion daily. Patients in the midtrimester received extra-amniotic or inter-amniotic prostaglandins (PGF2 alpha). Most of the patients were young, single and primigravid. Most terminations were requested for on psychosocial grounds. The mean induction-delivery time with PGF2 alpha was 16.6 hours. Age, parity and gestation influenced this interval. The mean hospital stay was 3-5 days. Minor complications were recorded in 19.2% of the patients. Instillation of PGF2 alpha, particularly by extra-amniotic route seems to be safe and sufficient in our environment. It is recommended for use in developing countries.
authors: K O
authors: KO
authors: Rogo
authors: J M
authors: JM
authors: Nyamu
mesh_terms: D000032:Abortion, Therapeutic / Q000379:methods* / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D007630:Kenya; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D011461:Prostaglandins F, Synthetic / Q000009:adverse effects / Q000627:therapeutic use*
chemical_list: D011461:Prostaglandins F, Synthetic