Feticide with Intracardiac Potassium Chloride to Reduce Risk of Hemorrhage in Medical Termination of Pregnancy

Objective: This is retrospective study to see the effect of feticide with intracardiac potassium chloride (KCL) to reduce the risk of hemorrhage in termination of pregnancy (TOP) with placenta previa, caesarian scar pregnancy and large fibroids distorting uterine anatomy. Materials and Methods: Fetal cardiac asystole was achieved under ultrasound guidance using free hand technique, in eight patients who required termination of pregnancy because of multiple congenital malformations (4), history of intake of abortifacient drugs (1), premature rupture of membranes (1) with placenta previa, live caesarian scar pregnancy (1) and large fibroid in lower uterine segment (1). Results: None of the patients has significant hemorrhage during termination of pregnancy and no blood transfusion was given. No maternal complication occurred with fetal intracardiac KCL. Conclusion: Intracardiac KCL is safe to be used for feticide to reduce the risk of hemorrhage prior to TOP in placenta previa, caesarian scar pregnancy and large fibroids.