[Frequency of induced abortions in mid-pregnancy at the Gynecology and Obstetrics Clinic in Sarajevo 1993-1994]. / Ucestalost prekida visokih trudnoca na Klinici za ginekologiju i akuserstvo u Sarajevu, u periodu 1993-1994. godine.

ABSTRACT

During the two war years, higher pregnancies were interrupted by 133 patients either for medical, social or ethical causes. To induce abortions, 15 methyl prostaglandin F2 was used. In advance, portions had been prepared (softened) with cervical application of prepidil gel in dose of 0.5 g. Starting eight to ten hours later Prostin 15 M was applied every 3 hours in dose of 250 mg. An average period from gel application to expulsion of ovulum was 30 hours by nullipara and 21 hours by patients who have delivered a child before. Due to strong uterotonic activity of these medicaments side effects like nausea, vomiting, diarrhoea and prostration occurred several times. Serious complications were registered in 4 patients. Three of them suffered cervix rupture due either to insufficient preparation or external orifitium spasm. The fourth one had profuse bleeding due to secondary atonia. Ruptures were sutured and bleeding stopped with standard uterotonic and blood transfusion.