Comparison of complications associated with induction by misoprostol versus dilation and evacuation for second-trimester abortion
| Autor: | Shannon N Ogden, Sarita Sonalkar, Angela Y. Chen, Linda K. Tran |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Abortion California Dilatation and Curettage Cohort Studies 03 medical and health sciences Postoperative Complications 0302 clinical medicine Pregnancy medicine Humans 030212 general & internal medicine Dilation and evacuation Second trimester abortion Misoprostol Retrospective Studies Abortifacient Agents Nonsteroidal 030219 obstetrics & reproductive medicine Obstetrics business.industry Obstetrics and Gynecology Abortion Induced Retrospective cohort study General Medicine medicine.disease Pregnancy Trimester Second Female business Complication medicine.drug Cohort study |
| Zdroj: | International Journal of Gynecology & Obstetrics. 138:272-275 |
| ISSN: | 0020-7292 |
| DOI: | 10.1002/ijgo.12229 |
| Popis: | To compare the frequency of complications between medical induction with misoprostol and dilation and evacuation (DE) for second-trimester uterine evacuation.In a retrospective cohort study, records were reviewed from all women who underwent second-trimester uterine evacuation between 14 and 24 weeks of pregnancy at an academic hospital in the USA from January 2007 to December 2008. Total complications and serious complications were compared between medical induction and DE, and clinical covariates associated with complications were assessed.Overall, 465 women were included. At least one complication occurred in 28 (23.0%) of 122 women in the medical induction group, and 24 (7.0%) of 343 women in the DE group (P0.001). One or more serious complications occurred in 4 (3.3%) women undergoing medical induction and 5 (1.5%) undergoing DE (P=0.251). Logistic regression analysis demonstrated that increasing pregnancy length (P=0.003) and medical induction (as compared with DE; P=0.004) were associated with complications.Although DE resulted in fewer overall complications as compared with medical induction, the rate of serious complications did not differ between the two procedures. |
| Databáze: | OpenAIRE |
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