疼痛,出血和满意度的差异在早期怀孕期间的医疗堕胎
Frida Gyllenberg1,2,3, Karin Brandell4,5, Tagrid Jar-Allah6
1Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
怀孕年龄会影响早期医疗堕胎的结果. 超声波上更先进的怀孕可视化与疼痛和出血持续时间的增加相关,尽管患者满意度在所有阶段仍然很高.
科学领域:
- 生殖健康 生殖健康
- 医学堕胎研究 医学堕胎研究
- 怀孕的结果 怀孕结果
背景情况:
- 对妊娠进展如何影响医疗堕胎经验的理解有限.
- 需要调查疼痛,出血持续时间,以及对早期终止怀孕的满意度.
研究的目的:
- 为了确定早期医疗堕胎的疼痛,出血持续时间和满意度是否因超声波定义的妊娠类别而异.
- 分析超声波检测结果与医疗堕胎期间患者经验之间的关系.
主要方法:
- 对VEMA试验的二次分析,这是一个随机临床试验.
- 根据超声检查结果对参与者的分类:未知位置,早期正常定位,可见的黄囊,可见的胚胎.
- 测量疼痛 (0-10 NRS),出血持续时间 (天),以及满意度 (0-6 级).
主要成果:
- 包括1253名参与者;疼痛和出血的持续时间随着更先进的超声波发现而增加.
- 不知位置的怀孕组报告疼痛最小 (5.2±2.3) 和出血最短 (4.9±3.2天).
- 可见胚胎组报告了最高的疼痛 (6.2±2.4) 和最长的出血 (7.5±5.3天);所有组的满意度都很高 (>5).
结论:
- 早期医疗堕胎中的高级超声波发现与增加疼痛和出血持续时间有关.
- 无论超声波定义的妊娠类别,患者对医疗堕胎的满意度仍然很高.
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