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Second Trimester Termination of Pregnancy Indication Anxiety state

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									Coordinating Committee in Obstetrics & Gynaecology   Second Trimester Termination of Pregnancy
                                                                                (終止中期懷孕)
Effective date: 30 May 2008                              Document no.: PILIC0089E version1.0
Version 1.0                                                                      Page 1 of 2

                       Second Trimester Termination of Pregnancy


Indication
Anxiety state, abnormal fetus, maternal medical condition and others

The Procedure
  Preparation of cervix
  Insertion of vaginal tablets every 3 hours for a maximum of 5 doses per day
  Food or drink will not be allowed when abdominal pain occurs
  Pain killer can will be provided
  Vaginal bleeding and pain can occur prior to passage of fetus
  The abortion process may take more than 1 day (More than 90% chance complete
  within 48 hours)
  Surgical evacuation may be required in case of incomplete abortion
  Local anaesthesia+ conscious sedation or general anaesthesia may be needed
  All tissue removed will be sent to the Department of Pathology or disposed of as
  appropriate unless otherwise specified
  Other associated procedures which may be required if abortion is not complete like
  surgical evacuation under local anaesthesia+conscious sedation / general
  anaesthesia

Photographic and / or video images may be recorded during the operation for
education / research / documentation purpose. Please inform the staff if you have any
objection.

Risk and Complication
  Side effects of the drugs including nausea, vomiting, diarrhoea, fever, anaphylaxis
  Failure of the procedure
  Incomplete abortion
  Excessive bleeding, may need blood transfusion
  Pelvic infection and adverse effect on future fertility
  Uterine rupture necessitating laparotomy ± hysterectomy (less than 0.1% chance)
  Adverse psychological sequelae

Complication of Surgical Evacuation in case of Incomplete Medical Abortion
  Anaesthetic complications
  Cervical tear
  Incomplete evacuation
  Excessive bleeding, may need blood transfusion
  Uterine perforation with or without trauma to other organs necessitating
  laparoscopy / laparotomy
  Pelvic infection and adverse effect on future fertility
  Intrauterine adhesions
  Cervical incompetence
  Third stage complications in future pregnancy
Coordinating Committee in Obstetrics & Gynaecology   Second Trimester Termination of Pregnancy
                                                                                (終止中期懷孕)
Effective date: 30 May 2008                              Document no.: PILIC0089E version1.0
Version 1.0                                                                      Page 2 of 2

Risk of Not Having the Procedure
   Continuation of the pregnancy which involve risk to the life or of injury to the
   physical or mental health of the pregnant woman
   Delivery of a child who will suffer from physical or mental abnormality and being
   seriously handicapped

After the Procedure
  May experience some vaginal bleeding and abdominal cramp within 2 weeks
  May experience breast engorgement a few days after the procedure

Alternative Treatment
   Continuation of pregnancy and support from the Birthright Society or the Mothers’
   Choice

Follow Up
  Future contraception

Remarks
The information contained is very general, the list of complications is not exhaustive
and other unforeseen complications may occasionally occur. In special patient groups,
the actual risk may be different. For further information please contact your doctor.

								
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