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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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