Uterine Rupture During Medical Induction for Second Trimester Abortion

  • Rekha Poudel Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Aruna Karki Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Hema Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Kenusha Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal

Abstract

Medical induction is an alternative to dilatation and evacuation (D and E) in second trimester abortion, though it has higher risk of minor complications compared to D and E. Combination of mifepristone and misoprostol is commonly used for the medical abortion. A 32 years G3P2L2 with previous two cesarean delivery was referred to our center at sixteen weeks of gestation for termination of her pregnancy. After 63 doses of misoprostol, she had to undergo unintended major intra-abdominal surgery for partial uterine rupture.
Keywords: Dilatation and evacuation; medical induction; second trimester abortion; uterine rupture.

Published
2020-09-08
How to Cite
PoudelR., DangalG., KarkiA., PradhanH., ShresthaR., BhattachanK., BajracharyaN., TiwariK., & BharatiS. (2020). Uterine Rupture During Medical Induction for Second Trimester Abortion. Journal of Nepal Health Research Council, 18(2), 330-331. https://doi.org/10.33314/jnhrc.v18i2.2461