Objective:This study is to compare the personal acceptability and effect of Oral RU486/PG versus surgical vacuum aspiration on termination of early pregnancy.Method:Subjects were recruited by their voluntary choice of...Objective:This study is to compare the personal acceptability and effect of Oral RU486/PG versus surgical vacuum aspiration on termination of early pregnancy.Method:Subjects were recruited by their voluntary choice of methods.One hundred women aged 20～34 with amenorrhea of 35～42 days chose the medical method (RU486 600 mg on the lst day and cytotec 0.4 mg on the 3rd day).One hundred women aged 20～34 with amenorrhea<56 days chose vacuum aspiration. Subjects were asked to return on the 17th day in the medical group and 14th day in the surgical group for follow-up. Results:Complete abortion rates in the medical and surgical groups were 89% and 100% respectively. The main reason for choosing medical abortion was'less painful'(94% ) while that for choosing surgical abortion was'quick and saving time(55% ),with removing or insering IUD (45%) following surgical abortion'.Conclusion:For pregnancy termination RU486/Cytotec (PGE1) and vacuum aspiration are both highly acceptable.Each method has its own advantages and disadvantages and they can not replace each other.Selective use can provide advantages of either method. The earlier the termination,the safer the event.展开更多
Patients and physicians confront a challenging dynamic when an early pregnancy loss (EPL) occurs after fertility treatment (FT). Our study focused on the time to resumption of FT in patients managed medically (Cytotec...Patients and physicians confront a challenging dynamic when an early pregnancy loss (EPL) occurs after fertility treatment (FT). Our study focused on the time to resumption of FT in patients managed medically (Cytotec) compared to in those managed surgically with dilatation and curettage (D&C). A retrospective analysis from 2003-2010 of patients receiving treatment for an EPL. Misoprostol (Cytotec) patients were compared with a randomly selected control group (D&C). Both the time from the date of treatment to the date at which βhCG reached x2. No statistical significance was observed for resumption of FT between groups. Cytotec group had a greater maintenance of retained products of conception versus D&C population (26% vs 2%;p = 0.01). More D&C patients received karyotype results (68% vs 5%). A significant difference was not found in resumption time to the next fertility treatment between the medically and surgical treatment. More medically managed patients RPOC requiring D&C. Although a D&C is more likely to provide karyotype results, medical management is a viable alternative.展开更多
文摘Objective:This study is to compare the personal acceptability and effect of Oral RU486/PG versus surgical vacuum aspiration on termination of early pregnancy.Method:Subjects were recruited by their voluntary choice of methods.One hundred women aged 20～34 with amenorrhea of 35～42 days chose the medical method (RU486 600 mg on the lst day and cytotec 0.4 mg on the 3rd day).One hundred women aged 20～34 with amenorrhea<56 days chose vacuum aspiration. Subjects were asked to return on the 17th day in the medical group and 14th day in the surgical group for follow-up. Results:Complete abortion rates in the medical and surgical groups were 89% and 100% respectively. The main reason for choosing medical abortion was'less painful'(94% ) while that for choosing surgical abortion was'quick and saving time(55% ),with removing or insering IUD (45%) following surgical abortion'.Conclusion:For pregnancy termination RU486/Cytotec (PGE1) and vacuum aspiration are both highly acceptable.Each method has its own advantages and disadvantages and they can not replace each other.Selective use can provide advantages of either method. The earlier the termination,the safer the event.
文摘Patients and physicians confront a challenging dynamic when an early pregnancy loss (EPL) occurs after fertility treatment (FT). Our study focused on the time to resumption of FT in patients managed medically (Cytotec) compared to in those managed surgically with dilatation and curettage (D&C). A retrospective analysis from 2003-2010 of patients receiving treatment for an EPL. Misoprostol (Cytotec) patients were compared with a randomly selected control group (D&C). Both the time from the date of treatment to the date at which βhCG reached x2. No statistical significance was observed for resumption of FT between groups. Cytotec group had a greater maintenance of retained products of conception versus D&C population (26% vs 2%;p = 0.01). More D&C patients received karyotype results (68% vs 5%). A significant difference was not found in resumption time to the next fertility treatment between the medically and surgical treatment. More medically managed patients RPOC requiring D&C. Although a D&C is more likely to provide karyotype results, medical management is a viable alternative.
