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Saline Abortion

From the Department of Gynecology and Obstetrics, Morrisania City Hospital, New York, NY

Abstract

Among 612 intraamniotic saline injections given over an 18-month period, 97.4% induced successful abortions. The mean injection-abortion interval was 32.3 ± 13 hours; mean duration of labor was 7.7 ± 4.8 hours. No differences were noted between nulliparas and multiparas. Postabortion complications included: retained placenta (35.0%), curettage (17.9%), fever (16.6%), hemorrhage (7.9%) and blood transfusion (2.3%). With the exception of fever, the incidence of all complications increased with advancing age and parity. Multiparas, 30 years of age or older, were identified as a high-risk group. A simplified method of injection was shown to be as safe and efficacious as the standard.