Hemostasis in abortion

Hemostatic disorders in abortion are rare. However, when they occur they can lead to serious complications. Abortion curettage in the first trimester has a hemorrhage rate of 0.06% (Grimes and Gates, 1979). Increased blood loss is usually due to incomplete abortion, laceration, perforation or uterine atony rather than coagulation disorders (Moberg et al., 1975). Severe hemorrhage in itself can induce consumptive coagulopathy. No case of amniotic fluid embolism (AFE) in the first trimester of pregnancy has been reported so far (Guidotti et al., 1981).