[Early artificial termination of pregnancy by Karman's method]. / Rannoto izkustveno prekusvane na bremennostta po Karman.

ABSTRACT

PIP After a brief survey of the expected advantages of the early interruption of pregnancy by the Karman method, the author describes his own observations on immediate and early complications in 850 cases. In the course of intervention, 7.45% of the patients reacted with a vegetative manifestation of cervical shock--pallor, nausea, vomiting, colic-like pain in the lower part of the abdomen (mainly in nullipara). The aspirated amount of material did not surpass 50 ml in women with amenorrhea of 40-45 days duration. The mean duration of the aspiration was 1 minute, 57 seconds. There was menstruation-like bleeding from day 3 to days 10-12 in 86.3% of the women with interruption of pregnancy. Its occurrence in 2.49% of the patients was preceded by colic-like pain and shortlived elevation of axillary temperature up to 38oC. Inflammatory complications were registered up to the 2nd month in 2.49% of the 79.3% followed. The aspiration system with the hand vacuum extractor (Malstrom type) was used successfully for creating negative pressure and thus the special syringe (Karman type) was replaced.^ieng