Organ or System Failure: Difference between revisions
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Organ or system failure as a result of induced abortion is very infrequent but nevertheless potentially extremely serious and, in many instances, fatal.
Cerebrovascular Diseases (Stroke)
"Suicide Deaths Associated with Pregnancy Outcome: A Record Linkage Study of 173,279 Low Income American Women," D Reardon et al, Clinical Medicine & Health Researchclinmed2001030003v1 (April 25, 2001)
- State funded medical insurance records identifying all paid claims for abortion or delivery were linked to the state death certificate registry among low income women in California who had either an induced abortion or delivery in 1989. Compared to women who delivered (1.0), those who aborted had a statistically higher adjusted risk of dying from cerebrovascular diseases (5.46) Ed Note: There is evidence that induced abortion increases the incidence of hypertension in women. This may have been a factor in the considerably higher incidence of deaths from cerebrovascular diseases.
Circulatory Diseases
"Suicide Deaths Associated with Pregnancy Outcome: A Record Linkage Study of 173,279 Low Income American Women," D Reardon et al, Clinical Medicine & Health Research clinmed/2001030003v1 (April 25, 2001)
- Compared to women who delivered (1.0) , those who aborted had a statistically higher adjusted risk of dying from circulatory diseases (2.87)
"Fatal Myocarditis Associated with Abortion in Early Pregnancy," DA Grimes and W Cates, Jr, Southern Medical Journal 73(2):236, 1980
- Describes four cases of abortion-related deaths due to myocarditis.
"Fatal Myocardial Infection Resulting From Conorary Embolism After Abortion: Unusual Cause and Complication of Endocarditis," 29:175, 1997
"Maternal and Fetal Outcomes of Subsequent Pregnancies in Women with Peripartum Cardiomyopathy," U Elkayam et al, N Eng J Med 344(21):1567, May 24, 2001
- This study found an elevated incidence of prior therapeutic abortion in women with left ventricular dysfunction which was sometimes fatal.
Disseminated Intravascular Coagulation (DIC)
DIC, or consumptive coagulophy, is caused by trauma or sepsis. It breaks down the various functions of the blood, resulting in defective coagulation with the risk of life- threatening hemorrhage and multiple organ failure.
"Coagulopathy and Induced Abortion Methods," ME Kafrissen et al, Am J Obstet Gynecol 147: 344, 1983.
- The incidence of coagulopathy associated with first trimester abortion is 8 per 100,000 abortions; with D&E abortions it is 191 per 100,000 abortions; and with saline instillation abortions it is 658 per 100,000 abortions.
"Manmagement of Disseminated Intravascular Coagulophy," ME Richey et al, Clinical Obstetrics and Gynecology 38 (3): 514-520, 1995.
- Induced Abortion is listed as one of the common causes of consumptive coagulophy.
Amniotic Fluid Embolism
Amniotic fluid embolism, an unusually catastrophic condition, is a sudden rush of amniotic fluid containing placental or fetal tissue fragments into maternal circulation. Frequently it is fatal. Although it can occur in a first trimester abortion, it is much more likely to occur in a second trimester abortion.
"Fatal pulmonary embolism during legal induced abortion in the United States from 1972 to 1985," HW Lawson et al, Am J Obstet Gynecol 162:986, 1990.
- Includes deaths from amniotic fluid embolism as well as air embolism and pulmonary embolism.
"Amniotic Fluid Embolism," SL Clark, Critical Care Clinics 7(4):877-882, 1991.
- " AFE has been reported under many conditions. These include first-trimester curettage abortion, second-trimester abortion with saline, prostaglandin, urea, and hysterotomy."
"Amniotic fluid embolism: Analysis of the national registry," SL Clark et al, Am J Obstet Gynecol 172:1158-1169, 1995.
- Listing prior elective termination of pregnancy as one of the demographic data for patients with amniotic fluid embolism.
Pulmonary Embolism
Pulmonary embolism is an obstruction of pulmonary arteries, most frequently by detached fragments of clots from a leg or pelvic vein, especially following an operation or confinement to bed. Pulmonary embolism is known to occur in adolescents or adults following induced abortion. An incidence of 2.2 cases of pulmonary embolism per 10,000 induced abortions has been reported.
"Pulmonary Embolism in Adolescents," D Bernstein et al, Am J Diseases of Children 140:667, 1986
"Pulmonary Embolism in a 14 Year Old Following Elective Abortion," R Nudelman et al, Pediatrics 68:584, 1981
"Deaths Caused by Pulmonary Thromboembolism After Legally Induced Abortion," AM Kimball et al, Am J Obstet Gynecol 132:169, 1978.
Adult Respiratory Distress Syndrome
Manual of Obstetrics: Diagnosis and Therapy, 4 Edition, Kenneth R Niswander and Arthur T Evans (Boston: Little, Brown, 1991) 90
- Adult respiratory distress syndrome (ARDS) is diffuse damage to the small cells of the lung accompanied by an excessive accumulation of water in the cells of the lung. It can occur from such etiologies as amniotic fluid embolism, sepsis, overdose or toxicity from various medications or chemicals, or in connection with DIC.