Obstetrics and gynecology
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Obstetrics and gynecology · May 1980
Case ReportsIntramyometrial prostaglandin F2 alpha in the treatment of severe postpartum hemorrhage.
Three patients with severe postpartum hemorrhage due to uterine atony were treated with intramyometrial injection of 1 mg of prostaglandin F2 alpha with excellent results. This was an effective, safe, and rapid therapy in these cases of severe postpartum bleeding.
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Suction curettage is the procedure of choice for first trimester abortion. The basic preevaluation and follow-up standards for this operation have been adopted by most physicians. In some instances, however, follow-up assessment may be inadequate, particularly regarding the histopathologic evaluation of uterine contents. ⋯ Ultrasonography and endoscopic methods such as laparoscopy and hysteroscopy are invaluable in locating the site of the pregnancy and in preventing serious sequelae. The authors report the outcome of 25 women in whom abortion by suction curettage failed. A protocol outlining the methods used for diagnosis and therapeutic management is presented.