National Women's Annual Clinical Report 2010

Forty six women in 2010 had a medical termination of pregnancy between 13 and 19
weeks. The most common indications for this procedure were fetal anomaly and
intrauterine death. The number of women requiring manual removal of the placenta
following birth was 15% (16% in 2008 and 10% in 2009).
In mid 2011 we introduced the administration of iv Oxytocin 10IU post delivery of the
fetus to advance delivery of placenta. We are looking forward to reviewing 2011 data to
see if introduction of this new protocol will lessen the number of women requiring manual
removal of the placenta following medical TOP.
In 2010 28% of women were managed as day stay cases. We find this somewhat
disappointing because in 2009 32% of women were managed as a day stay and we
expected to see an increase to 50%. Unfortunately, with limited bed availability we were
not in a position to admit these women to hospital early in the morning, which causes
delays in delivery and results in overnight stays. We are still working on improving
management of these patients and are hoping for better results in 2011.
Three women needed blood transfusion due to significant blood loss in the post partum
period. All of these patients required manual removal of a retained placenta.
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