TITLE:
Therapeutic abortion in Siriraj Hospital: A 10-year review
AUTHORS:
Saifon Chawanpaiboon, Chanon Neungton
KEYWORDS:
Therapeutic Abortion; Indication; Intervention; Gestational Age
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.6,
July
26,
2013
ABSTRACT:
Objective:
To assess indications, methods of interventions and gestational age of women
underwent therapeutic abortion. Method: A total of 1381 cases of pregnant
women underwent therapeutic abortion with completed charts between 1st January, 2001 to 31st December, 2010, were enrolled in this study.
The patient data including demographic data, gestational age of abortion,
methods of abortion, dosage of cytotec usage, indications of abortion and
length of hospital stay were recorded. RESULT: Mean maternal age, gestational
age of abortion and abortus weight were 29.56 ± 7.09 years, 17.54 ± 6.05 weeks
of gestation and 401.27 ± 269.49 grams, respectively. Induced abortion with
cytotec and syntocinon was mostly (28.3%) and rarely used (1.3%), respectively.
Dosage of cytotec usage of 400 micrograms every 6 hours regimen was mostly used
(53.1%). Indications of therapeutic abortion were maternal HIV infection
(18.5%), fetal structural abnormalities (17.7%) and dead fetus in utero (19.3%)
and were found. Curettage alone was mostly performed in the indicated patients
with gestational age of 9.07 ± 2.85 weeks. Medical cytotec and syntocinon alone
were mostly performed in the indicated patients with gestational age of 19.51 ±
4.55 and 23.94 ± 4.67 weeks, respectively. Tubal sterilization and the length
of hospital stay were higher in the group of therapeutic abortion with maternal
indication. Therapeutic abortion by hysterotomy had higher length of hospital
stay than those with curettage method. Conclusion: Indications of therapeutic
abortion were mostly from maternal HIV infection, fetal structural
abnormalities and dead fetus in utero. Medical and surgical interventions
were mostly applied during mid and early gestation, respectively.