{
    "abstract": "A recent U.S. Public Health Service report compared the incidence of complications with 3 methods of midtrimester abortion. The comparison was based on a 4-year study of abortions done in 32 institutions. Major complications were least frequent with cervical dilatation followed by curettage or suction evacuation, more frequent with hypertensive saline injected into the amniotic sac, and most frequent with instillation of prostaglandin F2. By the second trimester, dilatation and evacuation is a difficult procedure. Major complications considered were: fever for 3 or more days; pelvic infections; pneumonia; thrombophlebitis; hemorrhage requiring transfusions; psychiatric hospitalization; hypernatremia; injury to bladder, ureter, or intestines; wound disruption; unintended major surgery; pulmonary embolism; convulsions; endotoxic shock; cardiac arrest; and death. The report is difficult to evaluate. Most medical letter consultants prefer intraamniotic administration of prostaglandin F2 or saline for midtrimester abortions.",
    "authors": [],
    "conclusions": null,
    "copyrights": null,
    "doi": null,
    "journal": "The Medical letter on drugs and therapeutics",
    "keywords": [
        "Abortifacient Agents",
        "Abortion, Induced--complications",
        "Abortion, Saline Solution--complications",
        "Biology",
        "Clinical Research",
        "Curettage--complications",
        "Endocrine System",
        "Family Planning",
        "Fertility Control, Postconception",
        "Obstetrical Surgery",
        "Physiology",
        "Pregnancy",
        "Pregnancy, Second Trimester",
        "Prostaglandins--complications",
        "Reproduction",
        "Research Methodology",
        "Surgery",
        "Treatment",
        "Vacuum Aspiration--complications"
    ],
    "methods": null,
    "publication_date": "1977-03-25",
    "pubmed_id": "846455",
    "results": null,
    "title": "Phenformin.",
    "xml": "<Element 'PubmedArticle' at 0x788504c067a0>"
}