患者在第一季度堕胎护理中经历疼痛和出血的经历
Katherine M Mahoney1, Rachel McKean2, Arden McAllister2
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
American journal of obstetrics and gynecology
|February 22, 2025
概括
接受药物流产的患者,特别是有严重月经疼痛或抑郁史的患者,更有可能报告严重疼痛和大量出血. 预先指导可以通过解决这些风险因素来改善堕胎体验.
科学领域:
- 生殖健康 生殖健康
- 临床产科和妇科 临床产科和妇科
- 患者报告的结果
背景情况:
- 堕胎护理是一种常见且安全的医疗程序.
- 患者对疼痛和出血的体验显著影响了他们的满意度.
- 关于影响当代堕胎方法中严重疼痛和出血的因素的研究有限.
研究的目的:
- 为了确定经过第一季度堕胎的患者报告的严重疼痛和大量出血的临床预测因素.
- 分析与预期和经历疼痛和出血之间的差异相关的因素.
主要方法:
- 一个多中心前性队列研究的二次分析.
- 包括644名接受药物治疗或手术性流产的参与者,妊娠期长达11周6天.
- 后勤回归模型评估了严重疼痛,大量出血和预期和经历症状之间的不一致的预测因素.
主要成果:
- 四分之一的参与者报告严重疼痛;35%报告大量出血.
- 药物流产,有严重月经疼痛史和基线抑郁症预测了严重的疼痛.
- 药物流产方案和基线抑郁症预测了大量出血.
- 第一次堕胎经验,无产,先前剖腹产和基线抑郁症预测了疼痛异常.
结论:
- 虽然大多数患者都为堕胎相关症状做好了准备,但严重的疼痛和大量出血对一些人来说是很大的担忧.
- 识别患有严重疼痛和大量出血的危险因素的患者可以指导预期咨询.
- 改进的预期指导,包括已识别的风险因素,可能会改善整体患者体验.
关键词:
堕胎堕胎堕胎堕胎堕胎堕胎堕胎堕胎流血 出血 流血 出血抑郁 抑郁症 抑郁症 抑郁症 是一种经期不良症 经期不良症 经期不良症药物 堕胎 堕胎 药物 堕胎疼痛 疼痛 疼痛 疼痛患者的体验 患者的体验患者报告的结果.流程性堕胎是一种流程性堕胎.子宫吸收是指子宫的吸收.更多相关视频
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