comparison of complications of sharp curettage and vacuum aspiration for first trimester abortion

Abortion is the most common complication of early pregnancy, so that should be effectively managed with safe and appropriate procedures. Surgical evacuation of the uterus for management of first trimester abortions usually involves vacuum aspiration or sharp curettage. Objective:To compare the complications of electric vacuum aspiration (EVA) and sharp curettage (D&C) for first trimester abortions, and detect the method that ensure more safety and efficacy. Subjects and methods: The study included one hundred women with incomplete abortion, missed abortion or blighted ovum, gestational age less than 12 weeks whom come to the department of obstetrics and gynecology at Al-Assad university hospital in Lattakia , Syria between 1 July 2013 and 1 July 2014. They were allocated into two groups, group A (n = 50) underwent EVA and group B (n=50) underwent D&C. The procedures were performed using the general anesthesia. We excluded: febrile state, clotting disorders, sever medical and surgical complications, unstable hemodynamic state. Results: Clinical characteristics were similar in the two groups. There were no reports of maternal deaths, cervical laceration, uterine perforation or blood transfusion recorded in the two groups. Blood loss was greater with D&C group than with EVA group (0.001). need an analgesic was greater with D&C group than with EVA group (0.002). Duration of operation and hospitalization was significantly shorter with EVA group than with D&C group. The two groups were similar in success procedure. Conclusion: The efficacy of EVA was the same as that of D&C in successful the procedure, but pain and blood loss were experienced more in the D&C group.

Causes of first trimester bleeding in Alasad University Hospital patients during 2013-2014

A study was done about bleeding in first trimester of pregnancy including 816 patients from 3104 pregnant women(26.28 %) . The causes was abortion ( %96.07), ectopic pregnancy (%2.69) and hyditidiform mole (%1.22). In patients with abortion 486 patients suffered from pain with bleeding(%61.09) and when happeded together the rate of complete abortion elevated . (%78.18) had early abortion whereas(%21.81) had late abortion.The most common high risk factors in patients with abortion were poor and low level of life also the age -35 40 years old(%47.44). The tubal ectopic pregnancy was the most common and the privious pelvic operation is one of the most important high risk factors for ectopic pregnancy. All patients with ectopic pregnancy had amenorrhea with low or no changes in β- HCG levels and (%86.36) had abdominal pain with changes and pain in the cervixs. 16 patients (%72.72) needed surgical therapy.

A Study of the Problem of Self-Incompatibility in the "Khodeiri" Variety and Some Pollinated Olive Varieties

The self-incompatibility problem appeared in the Khodeiry variety widely grown In Lattakia. When this phenomenon was studied on the Khodeiry variety in two areas (Jabla and Boqa), the results showed that this variety is self-sterile, i.e. it is not able to pollinate itself or the flowers of other trees of the same variety, and its fruit is very small and do not contain seeds. The results also showed that the flower abortion percentage in the Khodeiry variety is due to the genetic factor which varies depending on the variety. The study investigated the self-compatibility in some olive varieties in order to use them as pollinizers for the Khodeiry variety with the result that the Gellet, Soufrawy and Sourany varieties are particularly compatible and have a high compatibility with the Khodeiry variety. Based on these results, it is recommended that pollinated varieties are grown between olive orchards to improve fruit and to increase its production.

Bacterial Isolation and Molecular Characterization of Brucella Melitensis that Causes Caprine Abortion in the Middle Region of Syria and Differentiation between Field and Vaccinal Strains Isolated in this Study

The aim of this study is isolating brucella and using polymerase chain reaction technique for the molecular characterization of Brucellamelitensis,which causes caprine abortion. It also aimsto determine the rate of caprine abortion that is caused by Brucellamelitensisin the Middle region of Syria. For this purpose 58 abortion samples were collected (36 aborted fetuses, 22 vaginal swabs). The results of bacterial isolation and polymerase chain reaction reveal that the prevalence of caprine abortion caused by Brucella melitensis was 53.4%. The study also reveals that using stomach contents from caprine aborted fetus can be the best site for brucella isolation. Running differentiation tests to distinguish field strains from vaccinal strains refer to the presence of 2 isolates(6.4%) belonging to vaccinal strains(Rev1) from 31 isolates of Brucella melitensis.

Medical care provided to Abortion and post abortion cases in Maternity University Hospital in Damascus – Descriptive study

Abortion is the most common complication during pregnancy up to 25% of clinically diagnosed pregnancies .It is the most common cause of maternal morbidity and mortality in the first trimester. There is need to evaluate the quality of the services provided to the patients and to what extent it is compatible with new evidence based practices subsequently working on its development and updating This study aims at describing medical services provided to the patients both during and after abortion in the Maternity University Hospital.

The Relation Between the Obstacles of Contraception Usage and Unsafe Abortion in Syria

Objectives: Syria is considered to have the highest fertility rate in the world, some of the reasons are due to women themselves and some are due to the health system and its providers. Methods: Our study is a cross sectional study. It included women at fertility age between (15-49 years) they were selected using cluster samples at the six Syrian regions. Results: The study showed that about (24%) of sampled women did not use any form of contraception. Husband refusal was the main reason, followed by health issues and fear of side effects, while religious believes and less frequent intercourse were only responsible for a small percentage. The study also showed that about half of the women who underwent induced abortion was because of social reasons and couples wishing not to keep the pregnancy, followed by failure of contraceptive methods mainly oral contraceptive pills. The majority of induced abortions (96%) were done surgically by dilatation and evacuation while medication was only used in a small percentage. Conclusion: Although (95%) of the induced abortions were done by specialists and (96%) of women were satisfied with the service provided, however this procedure was not devoid of major complications although it was in a small percentage but it was serious enough to affect the woman's life and her future fertility.