Induced Abortion in the Midtrimester in Adolescents and Young Women at the Department of Ob&Gyn at University Clinical Center Tuzla

Abstract

Between March 2008 and November 2009, we carried out a prospective study among adolescent and young women (14 - 24 years old) terminating a pregnancy at 13-23 weeks of gestation at Department of Ob&Gyn at University Clinical Center Tuzla. A total of 31 women were included into the study. The women were categorized into two groups: the study group of those who had procedure with application of laminaria alone (N=18) and the control group of those who had preparation with Pg gel in addition (N=13). We analyzed the age, parity, gestational age, the time between application of laminaria and the start of abortion, indications for abortion, risks and complications. The average age of women was 20.0 years ±2.8 and most of the patients were nuliparus (77.5%). In the study group the average age of women was 20.0 ± 2.7 and the most of the patient were nuliparus (72.2%). In the control group the average age of the women was 20.0±2.9 and most of the patient were nuliparus (84.6%).The indications for abortion were: fetal anomaly (19.3%), maternal disease (9.7%), miscarriage (16.0%), PPROM (13.0%) and artificial abortion (42.0%). Average length of procedure since applications of laminaria or Pg gel untill the end of abortion was 45 ±31.01_hours. In the study group the average length of procedure since application of laminaria until the end of abortion was 38 ± 24.6 hours. In the control group the average length of procedure since application of Pg gel till the end was 56 ± 33.8 hours. We did not have any complications in the study and control groups. We did not observe any significant side affects during or after the procedure.