| Termination of pregnancy by menstrual extraction. | |
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MedLine Citation:
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PMID: 7452159 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Termination of pregnancy by means of "menstrual extraction" is a useful procedure for family physicians opting to offer this service to their patients. It is an easily performed procedure which, when compared to the presently available avenues for abortion, offers significant advantages in cost, diminished morbidity, and the opportunity for continuity of care by the primary physician. The procedure is successful in properly selected patients 99 percent of the time. This paper describes the menstrual extraction procedure currently used at the UCLA Family Health Center. Candidates are screened by determining that their pregnancies are less than 7 weeks in size and duration from their last menstrual period. In addition to advanced pregnancy, the only other contraindication is pelvic inflammatory disease. The procedure takes an average of 5-10 minutes, and because it is an outpatient procedure, its cost, at UCLA, is about $100 plus laboratory fees. The menstrual extraction procedure is successful in properly selected patients 99% of the time. Associated side effects are minimal. After preoperative preparation, the physician inserts a flexible Karman cannula through the cervical os to the uterine fundus. The cannula is then connected to the Karman syringe and the plunger is pulled back until it locks, creating 50 mmHg negative pressure. The cannula then is rotated 180 degrees repeatedly and the apparatus is moved back and forth within the uterus from the fundus to the cervical canal. These motions are continued until the uterus is evacuated, usually signified by bubbles in the cannula and a grating sensation produced when the cannula contacts firm uterine muscle. |
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Authors:
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W M Rodney; M Quan; E Felmar |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of family practice Volume: 11 ISSN: 0094-3509 ISO Abbreviation: J Fam Pract Publication Date: 1980 Nov |
Date Detail:
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Created Date: 1981-03-17 Completed Date: 1981-03-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7502590 Medline TA: J Fam Pract Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 955-8 Citation Subset: AIM; IM; J |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced
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adverse effects,
methods* Female Humans Pregnancy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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