在巴西福尔塔雷萨,米索普罗斯托尔和非法堕胎
H L Coêlho1, A C Teixeira, A P Santos
1Department of Pharmacy, Federal University of Ceará, Fortaleza, Brazil.
Lancet (London, England)
|May 15, 1993
概括
治疗的药物米索普罗斯托尔在巴西经常被滥用堕胎,导致手术不完整,需要进行子宫疏散. 对堕胎准入的限制有助于解决这一公共卫生问题.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 药理学 药理学 是一个学科.
背景情况:
- 在巴西,堕胎受到严格限制,导致妇女寻求不安全的方法.
- 弥索普罗斯托尔是一种前列腺素E1模拟物,尽管效率低下,但它经常被用作堕胎药.
- 不完整的堕胎需要子宫疏散,造成严重的健康风险.
研究的目的:
- 分析巴西福塔雷萨的诱导堕胎后子宫疏散的趋势.
- 评估弥索普罗斯托尔在不完全堕胎中的作用.
- 调查药品销售暂停对堕胎程序的影响.
主要方法:
- 对于子宫疏散的医院记录的回顾性审查.
- 从1990年1月到1992年7月在一个主要的产科医院收集的数据.
- 对堕胎原因的分析,包括药物诱导和秘密手术.
主要成果:
- 1990年初观察到,因美苏产生的不完全流产的数量大幅增加.
- 在1991年,mizoprostol占不完全堕胎的75%.
- 暂停mizoprostol的销售导致子宫疏散的显著下降,尽管秘密销售维持了一些病例.
结论:
- 误用米索普罗斯托尔是巴西不完全堕胎的重要因素,原因是堕胎的机会受到限制.
- 药品营销控制不足加剧了对堕胎药物滥用的问题.
- 改善获得避孕和更安全的堕胎选择的机会是关键的公共卫生需求.
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