title: Uterine perforation following medical termination of pregnancy by vacuum aspiration.
abstract: Out of 9344 first trimester elective abortions performed by vacuum aspiration, 37 uterine perforation cases occurred. The suction cannula was responsible for more than 50% of perforations. All cases were multiparous. In 56.8%, the duration of gestation was 6 weeks or less. One third of the cases had a history of child birth within the previous 6 months. Fundal and anterior wall perforations were most common. Cases with a retroverted uterus had a higher incidence of perforation (59.4%) than those with an anteverted uterus (32.4%). Exact pelvic assessment and proper technique and case management are important for preventing perforation.
authors.forename: S
authors.initials: S
authors.lastname: Mittal
authors.forename: S L
authors.initials: SL
authors.lastname: Misra
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D004107:Dilatation and Curettage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010298:Parity; D011247:Pregnancy; D014595:Uterine Perforation / Q000209:etiology*; D014597:Uterine Rupture / Q000209:etiology*; D014619:Vacuum Curettage / Q000009:adverse effects* / Q000295:instrumentation