Stallworthy J A, Moolgaoker A S, Walsh J J
Lancet. 1971 Dec 4;2(7736):1245-9. doi: 10.1016/s0140-6736(71)90559-9.
A review of the methods used and the results obtained in 1182 legal abortions in one teaching hospital confirms that termination of pregnancy, even in the early weeks, is neither simple nor safe. Nearly 17% of patients lost more than 500 ml. of blood and 9.5% required transfusion. Cervical lacerations occurred in 4.2% and the uterus was perforated in 1.2%. All the perforations were associated with the technique of vacuum aspiration. Emergency laparotomy was required for 6 patients and hysterectomy was twice necessary to save life. Pyrexia of 38 degrees C or more persisting for longer than 24 hours occurred in 27%. Peritonitis developed in 14 patients, with paralytic ileus in 7, and 6 others had septicaemia. No patient died. The need is stressed for a wider appreciation of the risks involved in allowing certain pregnancies to continue and those associated with their termination, irrespective of the method used. Methods of reducing certain of these risks are indicated.
对一家教学医院1182例合法堕胎手术所采用的方法及取得的结果进行的回顾证实，终止妊娠，即使是在孕早期，既不简单也不安全。近17%的患者失血超过500毫升，9.5%的患者需要输血。宫颈裂伤发生率为4.2%，子宫穿孔率为1.2%。所有穿孔均与真空吸引术有关。6例患者需要紧急剖腹手术，为挽救生命两次进行子宫切除术。27%的患者发热达38摄氏度或更高，且持续超过24小时。14例患者发生腹膜炎，7例出现麻痹性肠梗阻，另有6例发生败血症。无患者死亡。强调需要更广泛地认识到让某些妊娠继续下去以及终止妊娠（无论采用何种方法）所涉及的风险。文中指出了降低其中某些风险的方法。
