Karman cannula

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The Karman cannula is a soft, flexible cannula (or curette) used in medical procedures that was popularized by Harvey Karman in the early 1970s. The flexibility of the Karman cannula was claimed to reduce the risk of perforating the uterus during vacuum aspiration. [1] Both Karman's procedure, menstrual extraction, and his cannula were embraced by activists Carol Downer and Lorraine Rothman, who modified the technique in 1971 and promoted it. [2] The "self-help" abortion movement envisioned by Downer and Rothman never entered the mainstream in the U.S. before or after Roe v. Wade . Physicians sometimes use a Karman cannula in early induced surgical abortion, in treatment of incomplete abortion, and in endometrial biopsy. In 2010, a Sri Lankan physician named Geeth Silva was the first physician to use the Karman cannula in the removal of impacted faeces from a patient; this was done in Columbo at the Sri Jayawardenepura General Hospital. Physicians and other health care providers sometimes use a Karman cannula in "menstrual regulation" vacuum aspiration procedures in developing countries where abortion is illegal (e.g. Bangladesh).[ citation needed ] [3]

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Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion" and occurs in approximately 30% to 40% of pregnancies. When deliberate steps are taken to end a pregnancy, it is called an induced abortion, or less frequently "induced miscarriage". The unmodified word abortion generally refers to an induced abortion. Although it prevents the birth of a child, abortion is not generally considered birth control.

Dilationand curettage (D&C) refers to the dilation (widening/opening) of the cervix and surgical removal of part of the lining of the uterus and/or contents of the uterus by scraping and scooping (curettage). It is a gynecologic procedure used for diagnostic and therapeutic purposes, and is the most commonly used method for first-trimester miscarriage or abortion.

Miscarriage Natural death of an embryo or fetus before its independent survival

Miscarriage, also known in medical terms as a spontaneous abortion and pregnancy loss, is the death of an embryo or fetus before it is able to survive independently. Some use the cutoff of 20 weeks of gestation, after which fetal death is known as a stillbirth. The most common symptom of a miscarriage is vaginal bleeding with or without pain. Sadness, anxiety, and guilt may occur afterwards. Tissue and clot-like material may leave the uterus and pass through and out of the vagina. Recurrent miscarriage may also be considered a form of infertility.

Heavy menstrual bleeding, previously known as menorrhagia, is a menstrual period with excessively heavy flow. It is a type of abnormal uterine bleeding (AUB).

Ashermans syndrome Medical condition

Asherman's syndrome (AS) is an acquired uterine condition that occurs when scar tissue (adhesions) form inside the uterus and/or the cervix. It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another. AS can be the cause of menstrual disturbances, infertility, and placental abnormalities. Although the first case of intrauterine adhesion was published in 1894 by Heinrich Fritsch, it was only after 54 years that a full description of Asherman syndrome was carried out by Joseph Asherman. A number of other terms have been used to describe the condition and related conditions including: uterine/cervical atresia, traumatic uterine atrophy, sclerotic endometrium, and endometrial sclerosis.

Vaginal bleeding is any expulsion of blood from the vagina. This bleeding may originate from the uterus, vaginal wall, or cervix. Generally, it is either part of a normal menstrual cycle or is caused by hormonal or other problems of the reproductive system, such as abnormal uterine bleeding.

Vacuum aspiration Gynaecological procedure

Vacuum or suction aspiration is a procedure that uses a vacuum source to remove an embryo or fetus through the cervix. The procedure is performed to induce abortion, as a treatment for incomplete spontaneous abortion or retained fetal and placental tissue, or to obtain a sample of uterine lining. It is generally safe, and serious complications rarely occur.

Dilation and evacuation (D&E) is the dilation of the cervix and surgical evacuation of the uterus after the first trimester of pregnancy. It is a method of abortion as well as a common procedure used after miscarriage to remove all pregnancy tissue.

Carol Downer

Carol Downer is an American feminist lawyer and non-fiction author who has focused her career on abortion rights and women's health around the world. She was involved in the creation of the self-help movement and the first self-help clinic in LA, which later became a model and inspiration for dozens of self-help clinics across the United States.

Endometrial ablation

Endometrial ablation is a surgical procedure that is used to remove (ablate) or destroy the endometrial lining of the uterus in women who have heavy menstrual bleeding. Endometrial ablation is not recommended for women who wish to have children, since complications can occur.

History of abortion Aspect of history

The practice of induced abortion—the deliberate termination of a pregnancy—has been known since ancient times. Various methods have been used to perform or attempt abortion, including the administration of abortifacient herbs, the use of sharpened implements, the application of abdominal pressure, and other techniques. A naturally occurring abortion that ends a pregnancy sometimes is described as a "spontaneous" abortion or, with the more frequently used popular euphemism, "miscarriage", to distinguish a difference between an induced abortion and a naturally occurring one, but medically, abortion is the terminology applied to either natural or induced.

Menstrual extraction (ME) is a type of manual vacuum aspiration technique developed by feminist activists Lorraine Rothman and Carol Downer to pass the entire menses at once. The non-medicalized technique has been used in small feminist self-help groups since 1971 and has a social role of allowing access to early abortion without needing medical assistance or legal approval. ME usage declined after 1973, when Roe v. Wade legalized abortion in the United States. There has been renewed interest in the technique, in the 1990s and more recently in the 2010s, due to increased restrictions on abortion. In some countries where abortion is illegal, such as Bangladesh, the terms "menstrual regulation" or "menstrual extraction" are used as euphemisms for early pregnancy terminations.

Lorraine Rothman American activist

Lorraine Rothman was a founding member of the feminist Self-Help Clinic movement. In 1971, she invented the Del-Em menstrual extraction kit to provide abortion to women before Roe v. Wade.

Harvey Karman

Harvey Leroy Karman was an American psychologist and the inventor of the Karman cannula, a flexible suction cannula used for early abortion.

Intrauterine device Form of birth control involving a device placed in the uterus

An intrauterine device (IUD), also known as intrauterine contraceptive device or coil, is a small, often T-shaped birth control device that is inserted into the uterus to prevent pregnancy. IUDs are one form of long-acting reversible birth control (LARC). One study found that female family planning providers choose LARC methods more often (41.7%) than the general public (12.1%). Among birth control methods, IUDs, along with other contraceptive implants, result in the greatest satisfaction among users.

Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Bangladesh is still governed by the penal code from 1860, where induced abortion is illegal unless the woman is in danger.

Merle S. Goldberg was an American journalist and an abortion activist. She was head of the National Women's Health Coalition which later became the International Women's Health Coalition. Goldberg also founded the first legal outpatient abortion clinic in the United States.

The women's health movementin the United States refers to the aspect of the American feminist movement that works to improve all aspects of women's healthcare. It began during the second wave of feminism as a sub-movement of the women's liberation movement. WHM activism involves increasing women's knowledge and control of their own bodies on a variety of subjects, such as fertility control and home remedies, as well as challenging traditional doctor-patient relationships, the medicalization of childbirth, misogyny in the health care system, and ensuring drug safety.

Abortion in Montana is legal. The number of abortion clinics in Montana has fluctuated over the years, with twenty in 1982, twelve in 1992, eight providers of which seven were clinics in 2011, and five clinics in 2014. There were four clinics from 2015 to February 2018 when All Families Healthcare clinic in Whitefish opened. There were 1,690 legal abortions in 2014, and 1,611 in 2015.

Abortion in Oregon is legal at all stages of pregnancy.

References

  1. Ekwempu CC (1990). "Uterine aspiration using the Karman cannula and syringe". Tropical Journal of Obstetrics and Gynaecology. 8 (2): 37–8. PMID   12179281.
  2. "Self Help Clinic Celebrates 25 Years". Feminist Women's Health Center.
  3. The use of Cannulas in the Aesthetic Industry

Further reading