IMR Press / CEOG / Volume 42 / Issue 2 / DOI: 10.12891/ceog1914.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
First trimester termination of pregnancy: methods in comparison between two European university hospitals
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1 Operative Unity-Volountary Interruption of Pregnancy (UO-IVG), Department of Obstetrical-Gynecological and Urological Science, Policlinico Umberto I, University “Sapienza”, Rome (Italy)
2 Department of Obstetrics and Gynecology of the University of Szeged, Albert Szent-Gyorgyi Medical Center, Szeged (Hungary)
Clin. Exp. Obstet. Gynecol. 2015, 42(2), 133–138; https://doi.org/10.12891/ceog1914.2015
Published: 10 April 2015
Abstract

Purpose of Investigation: To compare methods, epidemiological features, and legislations of first trimester termination of pregnancy in two European Union University Hospital: Szeged, Hungary, (UHS) and Rome, Italy (UHR). Materials and Methods: The study included 195 women in UHS and 197 women in UHR undergoing a termination of pregnancy. The method used in UHR was electric vacuum aspiration, while in UHS it is chosen according to the patients’ features. Results: Mean gestational week at the time of interruption was 8.21±0.12 SD for UHS and 9.00 ± 0.08 SD for UHR (p = 0.0001). Previous artificial termination of pregnancy was 0.40 ± 0.05 SD for UHR, and 0.77 ± 0.07 SD for UHS (p = 0.0001). Foreign women were 32.5% in UHR and 0.5% in UHS. Incidence of side effects was 1% for UHS and 0.5% for UHR. Parity was 2.54 ± 0.12 SD for UHR and 3.00 ± 0.14 SD for UHS (p = 0.01). Conclusions: The methods for interruption resulted safe and effective. Antibiotic prophylaxis, routinely provided in UHR, turned out to be effective to prevent post-operative infections. Cervical priming with Laminaria is safe, but patient’s hospitalization is required. Different legislations may account for some epidemiological differences between the two hospitals.
Keywords
First trimester termination of pregnancy
Cervical preparation
Karman method
Abortion legislation
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