宫准备第二个三个月的程序性流产
Farsam Fraz1, Serena M Liu, Kate A Shaw
1Division of Gynecology and Gynecologic Specialities, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California, USA.
Current opinion in obstetrics & gynecology
|September 7, 2023
概括
基于证据的宫准备方法用于第二季度扩张和疏散 (D&E) 包括当天和一夜间的选择. 医疗服务提供者可以根据患者的需要和临床环境来调整这些安全有效的技术.
科学领域:
- 医学科学 医学科学 医学科学
- 妇科 妇科医生 妇科
- 生殖健康 生殖健康
背景情况:
- 越来越多的堕胎限制导致更长的旅行距离和强制性等待期的第二个三个月的程序.
- 宫准备在扩张和疏散 (D&E) 之前至关重要,其持续时间可能是面临后勤挑战的患者的障碍.
- 同一天的宫准备越来越喜欢尽量减少堕胎的总时间.
研究的目的:
- 审查基于证据的宫准备方案,用于第二个三个月度扩张和疏散 (D&E).
主要方法:
- 对宫制剂的药理和机械方法的审查.
- 分析当天和一夜间的准备策略.
- 考虑影响方法选择的因素.
主要成果:
- 安全有效的当天选择包括单独使用或与透扩展器或宫气球结合使用的mizoprostol.
- 一夜间的选择包括mifepristone,透扩展器或跨宫气球,通常与同一天的mizoprostol相结合.
- 药物单独准备是有效的,机械方法在晚期怀孕中有益.
结论:
- 多种药理和机械宫制备方法是安全有效的D&E.
- 选择方法应根据患者,提供者和设置因素进行个性化选择.
- 灵活的方法允许适应供应短缺,临床环境和患者/提供者的偏好.
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