الإنهاء الطبي للحمل في الثلث الثاني بواسطة البروستاغلاندين E1
Abstract
أجريت الدراسة في قسم التوليد وأمراض النساء – مشفى الأسد الجامعي – اللاذقية وامتدت من تاريخ 1/1/2003 وحتى 30/6/2004 وضمت 48 مريضة وكانت نتائج الدراسة على النحو التالي:
- أعلى نسبة موت محصول حمل وتشوه أجنة تقع ضمن مجموعة 25-29 سنة (37.5%).
- أعلى نسبة موت محصول حمل وتشوه أجنة توجد عند الولودات (64.58%).
حدث خروج محصول الحمل خلال 16ساعة من بدء تطبيق البروستاغلاندين E1 عند37 مريضة ( 77.1%).
- تم استخدام الأوكسيتوسين لدى 11 مريضة (22.9%) وذلك بعد 16 ساعة من بدء تطبيق البروستاغلاندين E1وحدثت الاستجابة لدى معظم تلك المريضات خلال فترة أقصاها 6 ساعات .
- كانت هناك حاجة لإجراء تجريف رحم بعد خروج محصول الحمل عند 33 مريضة (68.75%).
- الآثار الجانبية المشاهدة هي:
- الغثيان (8.3%)
- فرط الاستثارة الرحمية (6.3%)
- الترفع الحروري(2%)
The study was carried out in the obstetrics and gynecology department at ALASSAD university hospital in Lattakia between 1/1/2003 and 30/6/2004
The study included 48 patients and the results were:
- The highest rate of fetal death and fetal malformations was in the patients aged between 25-29 years (37.5%).
- The highest incidence of fetal death and fetal malformations was in the multipara patients (64.58%).
- The expulsion of the contents was happened during 16 hours after administration of prostaglandin E1in 37 patients (77,1%)
- Oxcytocin was used in 11 patients (22,9%) after administration of prostaglandin E1and the expulsion happened during 6 hours at the majority of these patients.
- There was a need for uterine curettage after the expulsion of the contents in 33 patients (68,75%)
- Side effects were:
-nausea (8,3%),
-uterine hyperstimulation (6,3%)
-fever (2%)
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