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Obstetrics & Gynecology 1973;41:739-742
© 1973 by The American College of Obstetricians and Gynecologists
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The Postabortal Pain Syndrome: A New Entity

BERNARD N. NATHANSON, MD, FACOG

Abstract

The Center for Reproductive and Sexual Health is an ambulatory abortion clinic performing first trimester procedures under paracervical block. Sixty thousand (60,000) procedures have been performed from July 1, 1970, to August 1, 1972. A syndrome of syncope, abdominal pain, and tenderness several hours postprocedure, closely resembling the picture of uterine perforation, has been identified and is called, for want of a better understanding of the pathophysiology involved, the postabortal pain or "redo" syndrome. It is promptly relieved by resuctioning ("redoing") the patient. Because of the masses of firm clot found in the uterus at the time of resuctioning, it is suggested that a significant coagulopathy resembling that previously described in second trimester abortion may be operative here.







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