A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS

Objective: To compare cases of previous caesarean cases with non- caesarean for complications in Misoprostol Induced Mid Trimester abortions Study Design: A prospective cohort study design. Place and Duration of Study: This study was conducted at Combined Military Hospital (CMH) Nowshera, from...

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Autores principales:	Bushra Iktikhar, Rozina Khanum, Nuzhat Aisha Akram, Saima Nasreen, Faiza Ibrar, Abdul Fatah
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	misoprostol induced mid trimester (mi-mt) abortion previous caesarean and non-caesarean cases Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/551530bb13be4852be88cb312143c5fe
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spelling	oai:doaj.org-article:551530bb13be4852be88cb312143c5fe2021-11-12T02:58:17ZA COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS0030-96482411-8842https://doaj.org/article/551530bb13be4852be88cb312143c5fe2019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3021/2259https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare cases of previous caesarean cases with non- caesarean for complications in Misoprostol Induced Mid Trimester abortions Study Design: A prospective cohort study design. Place and Duration of Study: This study was conducted at Combined Military Hospital (CMH) Nowshera, from Jan 2014 to Jun 2015. Patient and Methods: This is a comparative study of two cohorts. One of the cohorts, labeled as 'A' included cases (n=30) of at least one previous caesarean delivery and other cohort labeled as 'B' were normal cases (n=76) with no uterine scars either from previous caesarean delivery or any other surgery. Both these cohorts were admitted to CMH Nowshera for Misoprostol Induced Mid Trimester (MI-MT) abortions. Indications for abortion varied from case to case. Comparison between the two cohorts was made for complications including (1) Heavy blood loss (2) Severe pain (3) Failure of Induction. A cut off value was set for heavy blood loss (>1000 ml), while severity of pain was a subjective perception, categorizing into mild to moderate and severe. Failure of induction was considered after 72 hours. Chi square and Fisher's exact tests were performed to test the null hypothesis of no significant difference between the two cohorts for each of the three complications. Effect of two confounding variables (i) Maternal age and (ii) Parity was also investigated. ANOVA was performed to find out a significant difference between categories of maternal age and parity within each cohort. Results: Chi square and Fisher's exact tests showed a significant difference (p-value<0.05) between the two cohorts for all the three complications of MI-MT abortions. Incidence of heavy blood loss, severe pain and failure of induction were significantly higher in cohort 'A' that comprised of previous caesarean cases. Conclusion: This study emphasized the need for more sensitive and careful management of cases admitted for termination of pregnancies with history of previous caesarean sections.Bushra IktikharRozina KhanumNuzhat Aisha AkramSaima NasreenFaiza IbrarAbdul FatahArmy Medical College Rawalpindiarticlemisoprostol induced mid trimester (mi-mt) abortionprevious caesarean and non-caesarean casesMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 528-533 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	misoprostol induced mid trimester (mi-mt) abortion previous caesarean and non-caesarean cases Medicine R Medicine (General) R5-920
spellingShingle	misoprostol induced mid trimester (mi-mt) abortion previous caesarean and non-caesarean cases Medicine R Medicine (General) R5-920 Bushra Iktikhar Rozina Khanum Nuzhat Aisha Akram Saima Nasreen Faiza Ibrar Abdul Fatah A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS
description	Objective: To compare cases of previous caesarean cases with non- caesarean for complications in Misoprostol Induced Mid Trimester abortions Study Design: A prospective cohort study design. Place and Duration of Study: This study was conducted at Combined Military Hospital (CMH) Nowshera, from Jan 2014 to Jun 2015. Patient and Methods: This is a comparative study of two cohorts. One of the cohorts, labeled as 'A' included cases (n=30) of at least one previous caesarean delivery and other cohort labeled as 'B' were normal cases (n=76) with no uterine scars either from previous caesarean delivery or any other surgery. Both these cohorts were admitted to CMH Nowshera for Misoprostol Induced Mid Trimester (MI-MT) abortions. Indications for abortion varied from case to case. Comparison between the two cohorts was made for complications including (1) Heavy blood loss (2) Severe pain (3) Failure of Induction. A cut off value was set for heavy blood loss (>1000 ml), while severity of pain was a subjective perception, categorizing into mild to moderate and severe. Failure of induction was considered after 72 hours. Chi square and Fisher's exact tests were performed to test the null hypothesis of no significant difference between the two cohorts for each of the three complications. Effect of two confounding variables (i) Maternal age and (ii) Parity was also investigated. ANOVA was performed to find out a significant difference between categories of maternal age and parity within each cohort. Results: Chi square and Fisher's exact tests showed a significant difference (p-value<0.05) between the two cohorts for all the three complications of MI-MT abortions. Incidence of heavy blood loss, severe pain and failure of induction were significantly higher in cohort 'A' that comprised of previous caesarean cases. Conclusion: This study emphasized the need for more sensitive and careful management of cases admitted for termination of pregnancies with history of previous caesarean sections.
format	article
author	Bushra Iktikhar Rozina Khanum Nuzhat Aisha Akram Saima Nasreen Faiza Ibrar Abdul Fatah
author_facet	Bushra Iktikhar Rozina Khanum Nuzhat Aisha Akram Saima Nasreen Faiza Ibrar Abdul Fatah
author_sort	Bushra Iktikhar
title	A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS
title_short	A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS
title_full	A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS
title_fullStr	A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS
title_full_unstemmed	A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS
title_sort	comparison of complications in previous caesarean with non caesarean cases undergoing misoprostol induced mid trimester abortions
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/551530bb13be4852be88cb312143c5fe
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A COMPARISON OF COMPLICATIONS IN PREVIOUS CAESAREAN WITH NON CAESAREAN CASES UNDERGOING MISOPROSTOL INDUCED MID TRIMESTER ABORTIONS

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