Second trimester medical abortion in a woman with prior classical caesarean section and a uterine leiomyoma – A case report. (October 2013)

• Record Type: Journal Article
• Authors: Seto, Mimi T. Y.; Ngu, Siew-Fei; Cheung, Vincent Y. T.; Pun, Ting-Chung
• Is Part Of: European journal of contraception & reproductive health care. Volume 18:Number 5(2013:Oct.)
• Page Start: 410
• Page End: 414
• Publication Date: 2013-10
• Subjects: Contraception -- Periodicals; Reproductive health -- Periodicals; Generative organs, Female -- Periodicals; Contraception -- Periodicals; Reproductive Medicine -- Periodicals; 613.9
• DOI: 10.3109/13625187.2013.797072
• Languages: English
• ISSNs: 1362-5187

Abstract

<abstract> <title>Abstract</title> <p> <bold>Background</bold> Medical abortion in women with the scar of a classical caesarean section (CS) and a large uterine leiomyoma is rarely attempted; it carries the risk of uterine rupture and haemorrhage.</p> <p> <bold>Case</bold> A 34-year-old multiparous woman with prior classical CS and a 14 × 10 × 9 cm leiomyoma arising from the uterine isthmus had an induced abortion at 14 weeks' gestation. Mechanical cervical priming with Dilapan^®-S followed by vaginal misoprostol administration resulted in the uncomplicated expulsion of the uterine contents.</p> <p> <bold>Conclusions</bold> An early second trimester medical abortion with misoprostol was successfully performed in a woman with prior classical CS and a large uterine leiomyoma.</p> </abstract>