Safety of late second-trimester pregnancy termination by laminaria dilatation and evacuation in patients with previous multiple cesarean sections

Ido Ben-Ami, David Schneider, Ran Svirsky, Noam Smorgick, Moty Pansky, Reuvit Halperin

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To assess whether there is an increased perioperative risk in termination of late second-trimester pregnancy after multiple cesarean sections by laminaria dilatation and evacuation. Study Design: During the period between January 2002 and June 2008, 636 consecutive patients underwent late second-trimester (17-24 weeks) pregnancy terminations by dilatation and evacuation. Patients were divided into 3 subgroups: those with no previous cesarean section (n = 545), those with 1 previous cesarean section (n = 59), and those with several previous cesarean sections (n = 32). Results: There were no significant differences in major perioperative complications, such as anesthetic complications, need for blood transfusion, and cervical lacerations comparing the 3 subgroups. Importantly, there were neither cases of uterine perforation nor retained products of conception in the 3 subgroups. Conclusion: Late second-trimester pregnancy termination after multiple cesarean sections by laminaria dilatation and evacuation is probably not associated with an increased perioperative risk. Larger studies are needed to empower this study.

Original languageEnglish
Pages (from-to)154.e1-154.e5
JournalAmerican Journal of Obstetrics and Gynecology
Volume201
Issue number2
DOIs
StatePublished - Aug 2009
Externally publishedYes

Keywords

  • cesarean section
  • dilatation and evacuation
  • late abortion
  • scarred uterus

Fingerprint

Dive into the research topics of 'Safety of late second-trimester pregnancy termination by laminaria dilatation and evacuation in patients with previous multiple cesarean sections'. Together they form a unique fingerprint.

Cite this