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Fatal hemorrhage from legal abortion in the United States.
Surg Gynecol Obstet. 1983 Nov; 157(5):461-6.SG

Abstract

Deaths from hemorrhage associated with legal induced abortion should not occur. Yet hemorrhage was the third most frequent cause of death from legal abortion in the United States between 1972 and 1979. This study was undertaken to document the scope of the problem, to identify risk factors for fatal hemorrhage and to recommend ways of preventing these deaths. Deaths were identified through the CDC's nationwide surveillance of deaths from abortions; information on numbers and characteristics of women having legal abortions was obtained from CDC and the Alan Guttmacher Institute. Twenty-four women died from hemorrhage after legal abortion in the United States from 1972 to 1979, for a death-to-case rate of 0.3 deaths per 100,000 abortions (95 per cent confidence interval 0.2 to 0.5). Women who died from hemorrhage were significantly older than those who died from other causes (27.6 versus 24.4 years; p less than 0.05). Documented uterine perforation or rupture was far more frequent among women who died from hemorrhage than those who died from other causes (71 versus 8 per cent; p less than 0.001). Women who sustained uterine perforation or rupture were over 1,000 times more likely to die from hemorrhage than those who did not. Deaths from hemorrhage can be eliminated by preventing uterine trauma during abortion and by rapidly diagnosing and treating hemorrhage if it occurs.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

6314567

Citation

Grimes, D A., et al. "Fatal Hemorrhage From Legal Abortion in the United States." Surgery, Gynecology & Obstetrics, vol. 157, no. 5, 1983, pp. 461-6.
Grimes DA, Kafrissen ME, O'Reilly KR, et al. Fatal hemorrhage from legal abortion in the United States. Surg Gynecol Obstet. 1983;157(5):461-6.
Grimes, D. A., Kafrissen, M. E., O'Reilly, K. R., & Binkin, N. J. (1983). Fatal hemorrhage from legal abortion in the United States. Surgery, Gynecology & Obstetrics, 157(5), 461-6.
Grimes DA, et al. Fatal Hemorrhage From Legal Abortion in the United States. Surg Gynecol Obstet. 1983;157(5):461-6. PubMed PMID: 6314567.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal hemorrhage from legal abortion in the United States. AU - Grimes,D A, AU - Kafrissen,M E, AU - O'Reilly,K R, AU - Binkin,N J, PY - 1983/11/1/pubmed PY - 1983/11/1/medline PY - 1983/11/1/entrez KW - Abortion, Induced--complications KW - Acceptor Characteristics KW - Age Factors KW - Americas KW - Bleeding KW - Demographic Factors KW - Developed Countries KW - Developing Countries KW - Diseases KW - Ethnic Groups KW - Family Planning KW - Fertility Control, Postconception KW - Incidence KW - Measurement KW - Mortality KW - North America KW - Northern America KW - Perforations KW - Population KW - Population Dynamics KW - Pregnancy, Second Trimester KW - Research Methodology KW - Signs And Symptoms KW - Treatment KW - United States KW - Uterine Perforation SP - 461 EP - 6 JF - Surgery, gynecology & obstetrics JO - Surg Gynecol Obstet VL - 157 IS - 5 N2 - Deaths from hemorrhage associated with legal induced abortion should not occur. Yet hemorrhage was the third most frequent cause of death from legal abortion in the United States between 1972 and 1979. This study was undertaken to document the scope of the problem, to identify risk factors for fatal hemorrhage and to recommend ways of preventing these deaths. Deaths were identified through the CDC's nationwide surveillance of deaths from abortions; information on numbers and characteristics of women having legal abortions was obtained from CDC and the Alan Guttmacher Institute. Twenty-four women died from hemorrhage after legal abortion in the United States from 1972 to 1979, for a death-to-case rate of 0.3 deaths per 100,000 abortions (95 per cent confidence interval 0.2 to 0.5). Women who died from hemorrhage were significantly older than those who died from other causes (27.6 versus 24.4 years; p less than 0.05). Documented uterine perforation or rupture was far more frequent among women who died from hemorrhage than those who died from other causes (71 versus 8 per cent; p less than 0.001). Women who sustained uterine perforation or rupture were over 1,000 times more likely to die from hemorrhage than those who did not. Deaths from hemorrhage can be eliminated by preventing uterine trauma during abortion and by rapidly diagnosing and treating hemorrhage if it occurs. SN - 0039-6087 UR - https://www.unboundmedicine.com/medline/citation/6314567/Fatal_hemorrhage_from_legal_abortion_in_the_United_States_ L2 - https://medlineplus.gov/vaginalbleeding.html DB - PRIME DP - Unbound Medicine ER -