Format

Send to

Choose Destination
Am J Obstet Gynecol. 1978 Sep 15;132(2):169-74.

Deaths caused by pulmonary thromboembolism after legally induced abortion.

Abstract

Pulmonary thromboembolism is an infrequent but serious complication of induced abortion. Of the 104 abortion-related deaths reported to the Center for Disease Control in 1972 through 1975, 10 (9.6 per cent) involved fatal pulmonary embolism; eight of these cases were proved at autopsy. All but one of the women had pre-existing risk factors for thromboembolic disease, including obesity, previous thrombophlebitis, use of oral contraceptives, or type A blood. All but one case occurred in women who had received general anesthesia. In addition, four of the eight women had undergone a concurrent sterilization procedure at the time of the abortion. Preventive efforts should focus on identifying women at high risk for thromboembolic events prior to the abortion procedure and then selecting the abortion procedure least likely to produce postoperative embolism.

PIP:

8 deaths (aged 17-44 years) caused by pulmonary thromboembolism after legally induced abortion are reported. Of 104 abortion-related deaths reported to the Center for Disease Control from 1972 through 1975, 10 involved fatal embolism. The 8 cases reported here were proved at autopsy. 7 of these women had preexisting risk factors for thromboembolic disease, including obesity, previous thrombophebitis, use of oral contraceptives, or Type A blood. All but 1 case occurred in women who had received general anesthesia. 4 of the 8 women had undergone a concurrent sterilization procedure at the time of abortion. The average age of these women was 27.9 years and their gestation at the time of abortion ranged from 8 to 15 weeks. It is concluded that preventive efforts should focus on identifying women at high risk for thromboembolic events prior to the abortion procedure and then selecting the abortion procedure least likely to produce postoperative embolism. Women with preexisting conditions might be advised to delay sterilization until the hypercoaguability of pregnancy has resolved.

PMID:
686105
DOI:
10.1016/0002-9378(78)90920-1
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center