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与第二个三个月的医疗堕胎相关的孕产妇并发症,使用mifepristone和随后的mizoprostol进行了初始化
Jan E Dickinson1, Dorota A Doherty2
1Division of Obstetrics and Gynaecology, The University of Western Australia, Perth, Western Australia, Australia.
Contraception
|May 28, 2023
概括
在使用米费普里斯顿和米索普罗斯托尔的第二季度医疗堕胎中,严重的不良事件并不常见. 虽然通常是安全的,但医疗保健提供者必须为潜在的并发症做好准备,特别是胎盘保留,随着妊娠年龄的增加而减少.
科学领域:
- 生殖健康 生殖健康
- 药理学 药理学是指药理学的学科.
- 产科 产科 产科 产科 产科
背景情况:
- 第二个三个月的堕胎使用各种方法进行.
- 使用米费普里斯顿和米索普罗斯托尔进行医疗堕胎是已知的选择.
研究的目的:
- 评估第二季度医疗堕胎期间母亲不良事件的发生频率.
- 评估妊娠年龄对这些不良事件的影响.
主要方法:
- 对1393例医学性堕胎 (13-28周妊娠期) 的回顾性分析.
- 使用了连续的米费普里斯顿和米索普罗斯托尔治疗方案.
- 评估了过程中的不良事件和妊娠年龄的影响.
主要成果:
- 胎盘保留 (>60分钟) 在19%的病例中发生.
- 出血 (>1000 cc),输血和再接收率较低 (分别为4.3%,1.7%,1.4%).
- 子宫破裂 (0.29%) 和子宫切除 (0.07%) 是罕见的;胎盘保留随着妊娠的推进而减少.
结论:
- 严重的孕产妇不良事件在第二个三个月的医疗堕胎中并不常见.
- 这种手术通常是安全的,但对并发症的准备是必不可少的.
- 医疗机构必须有能力及时管理潜在的不良事件.
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