{'fraction_non_alphanumeric': 0.020895522388059702, 'fraction_numerical': 0.01791044776119403, 'mean_word_length': 5.039039039039039, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
[Risks in legal, induced abortion. Review of the literature].


 A literature review is presented about the risks of induced abortion, as indicated in research from Switzerland and other countries of the world. The attitude of the various countries toward abortion appears to be becoming more liberal. The incidence of legal induced abortions has decreased slightly over the past years, despite more liberal abortion laws. Switzerland lies about in the middle of the scale, with 139 abortions/1000 women and 227/1000 births in 1974. The mortality associated with induced abortion is 1-4 deaths to 100,000 pregnancies, which is about the same risk as 10 years' use of the IUD or oral contraceptives. Most of the deaths occur when abortion is induced after the 16th week of pregnancy. About 10% of all complications of abortion are serious. The complication rate of abortion is highest in patients who undergo hysterotomy or hysterectomy and lowest for those undergoing the Karmen method or vacuum aspiration. No studies have shown a significant increase in the incidence of spontaneous abortions, of cervical insufficiency, of premature births, and of small-for-date babies as a consequence of having undergone induced abortion. There is a tendency, for these complications to occur, especially when dilatation beyond 10 mm is necessary or when the pregnancy is in an advanced stage. It is important to remember, however, that similar tendencies are observed among multiparae, and that the risks of abortion are less than those of childbirth. Cases of depression are recorded in conjunction with induced abortion, but undergoing abortion also relieves many cases of depression due to unwanted pregnancy. There is an increased incidence of sterility after abortion when prophylactic measures are taken against pelvic infection. Outpatient abortions should be performed by dilatation and curettage, before the 12th week of pregnancy. Local paracervical anesthesia is the method of choice for ambulant operations.
