Cannula fracture in first trimester abortion: A case report and survey of NAF providers

Alison Edelman, Jeffrey Jensen, Erica Nelson, Mark Nichols

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Complications in first trimester surgical abortions are uncommon. These include retained products of conception, infection, hemorrhage, perforation and hematometria. We report a case of a plastic cannula fracture. This event prompted further investigation of this issue and the factors that might increase the likelihood of its occurrence. We investigated whether the recycling of disposable cannulas may increase the frequency of cannula fracture. National Abortion Federation Members (NAF) were surveyed by mail. These providers were asked to comment anonymously on their experience with first trimester surgical abortions, resterilization of plastic cannulas and cannula fracture. The response rate was 71% after three mailings. The overall proportion of providers reporting previous cannula fractures was 9%. The rate of resterilization and reuse was 10%. Cannula resterilization did not significantly increase the likelihood of a fracture (p = 0.25). Cannula fracture is a rare complication of first trimester surgical abortion. Cannula fracture was not found to be associated with resterilization.

Original languageEnglish (US)
Pages (from-to)49-51
Number of pages3
JournalContraception
Volume67
Issue number1
DOIs
StatePublished - Jan 1 2003

Keywords

  • Cannula
  • Curette
  • Fatigue
  • First trimester surgical abortion complications
  • Foreign body
  • Fracture
  • Plastic
  • Sterilization

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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