INDUCED MID TRIMESTER TERMINATION OF PREGNANCY IN A PATIENT WITH PREVIOUS FOUR CESAREAN SECTIONS – A CASE REPORT

Dr. Shamrao Ramji Wakode and Dr. Sakshi Pramod Sharma*

ABSTRACT

The rate of cesarean sections is increasing worldwide and when patient with previous multiple cesarean sections approach for termination of pregnancy; obstetricians are being challenged to tackle the situation with scarred uterus. There is no safest proved method of medical termination of pregnancy in such patients. Furthermore, uterine rupture is a known complication. This case report presents our experience with the use of Foleys catheter with intravenous oxytocin for the management of second trimester medical termination of pregnancy in patient with previous four cesarean sections and ligation failure. The known techniques and drugs used in this case were successful; however, further studies are needed for better understanding of the technique used in such cases, considering the gestational age. In addition to this efficacy, complications, and side effects must be taken into account.

Keywords: Termination of Pregnancy, Vaginal route, previous four Cesarean Sections, Foleys catheter, oxytocin.