Dva roky metody medikamentózního ukončení gravidity ve Slezské nemocnici v Opavě, úspěšnost a poznatky
[Two years of pharmacological termination of pregnancy in the Silesian hospital Opava, success and lessons]
Language Czech Country Czech Republic Media print
Document type Journal Article
PubMed
28593774
PII: 61079
- Keywords
- medical termination of pregnancy, mifepristone, misoprostol Medabon.,
- MeSH
- Abortifacient Agents, Nonsteroidal administration & dosage MeSH
- Abortifacient Agents therapeutic use MeSH
- Abortion, Induced methods MeSH
- Humans MeSH
- Mifepristone administration & dosage therapeutic use MeSH
- Misoprostol administration & dosage therapeutic use MeSH
- Retrospective Studies MeSH
- Pregnancy MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Abortifacient Agents, Nonsteroidal MeSH
- Abortifacient Agents MeSH
- Mifepristone MeSH
- Misoprostol MeSH
OBJECTIVE: The purpose of this study was to summarize our departments experience with pharmacological termination of pregnancy up to 49 days of amenorrhea, to assess the success, and especially, to offer a closer analysis of the complications of this method. DESIGN: Retrospective analysis. SETTING: Department of Gynaecology and Obstetrics at the Silesian Hospital. METHODS: The monitored sample consisted of 161 female patients who underwent pharmacological termination of pregnancy at our department from 1. 7. 2014 to 30. 6. 2016 being administered 600 mg of mifepristone (Mifegyne) and 400 µg of misoprostol (Mispregnol). Within the sample of patients we observed the objective process of pharmacological termination of pregnancy with special attention being payed to an analysis of complications. We compared the number of complications occurred under classic surgical intervention and those occurred under pharmacological termination of pregnancy. RESULTS: A complete abortion without the necessity of surgical intervention occurred with 151 patients (93.79%) of whom 15 patients with administering uterotonic medicaments. Ten patients (6.21%) required a consequent instrumental revision of the uterine cavity, seven of them (70%) had a history of surgical intervention in the uterine cavity. In case of one patient persisted vital pregnancy. Two patients underwent medical termination of pregnancy twice. In one case there were twins. CONCLUSION: The method of pharmacological pregnancy termination has a good efficiency, it is safe with minimal side effects.