Fatal complications of illegal abortions performed in 1920-1939 based on the archival material of the Department of Forensic Medicine in Krakow.

Abstract

Aim: Analysis of different methods of performing illegal abortions and causes of death in women who underwent the procedure during the interwar period.

Material and methods: The study was based on the autopsy protocols from 1920-1939 archived at the Department of Forensic Medicine, Jagiellonian University Collegium Medicum in Krakow, Poland. The analysis comprised the deaths of women during pregnancy or in the perinatal period. The cases in which abortion was performed legally, for medical indications, were excluded.

Results: A total of 101 cases of illegal abortion were identified during the period studied, including 21 abortions performed by midwives, and three abortions carried out by qualified medical personnel. In 19 cases, abortion was done using a catheter or wire, while in eight cases the procedure was performed by injecting an abortion-inducing substance into the uterus or administering an injection into the foetus. Vaginal or uterine injury (27 cases), or vaginal or uterine wall perforation (10 cases), were the most common genital tract lesions indicative of abortion.

Conclusions: The majority of deaths (71) were caused by peritonitis or sepsis originating from an infection involving the genital tract.