论文部分内容阅读
目的分析人工流产与药物流产对初次妊娠妇女再次妊娠分娩的影响。方法选取上高县人民医院2014年10月—2015年10月收治的初次妊娠并流产的孕妇94例,根据终止妊娠的意愿分成了人工流产组与药物流产组,各47例。人工流产组孕妇以人工流产方式终止妊娠,药物流产组孕妇以药物流产方式终止妊娠,比较两组孕妇再次妊娠的病理情况(先兆流产、妊娠高血压综合征、胎盘早剥和胎膜早破)、再次分娩的并发症(胎盘粘连,产后出血,胎盘残留和胎儿窘迫)及妊娠结局。结果人工流产组先兆流产发生率高于药物流产组(P<0.05)。两组孕妇妊娠高血压综合征、胎盘早剥和胎膜早破发生率比较,差异无统计学意义(P>0.05)。两组孕妇再次分娩时,人工流产组胎盘粘连、产后出血、胎盘残留和胎儿窘迫发生率高于药物流产组(P<0.05)。两组孕妇早产、剖宫产、死胎和低体质量儿发生率比较,差异无统计学意义(P>0.05)。结论人工流产和药物流产均可作为终止妊娠的方法,但药物流产可降低初次妊娠孕妇再次妊娠和分娩并发症发生率,因此在终止妊娠时可优先选择药物流产。
Objective To analyze the effect of abortion and medical abortion on the second trimester pregnancy and childbirth in first pregnant women. Methods Ninety-four pregnant women who were admitted to Shanggao County People’s Hospital from October 2014 to October 2015 were divided into induced abortion group and medical abortion group according to the wishes of terminating pregnancy, with 47 cases in each group. Abortion group of pregnant women to terminate the pregnancy by abortion, medical abortion group of pregnant women to terminate the pregnancy by medical abortion, pregnant women again compare the two groups of pathological conditions (threatened abortion, pregnancy-induced hypertension, placental abruption and premature rupture of membranes) , Complications of childbirth (placental adhesion, postpartum hemorrhage, placental remnant and fetal distress) and pregnancy outcomes. Results The incidence of threatened abortion in induced abortion group was higher than that in medical abortion group (P <0.05). There was no significant difference in the incidence of pregnancy-induced hypertension, placental abruption and premature rupture of membranes between the two groups (P> 0.05). When the two groups of pregnant women delivered again, the incidence of placenta accreta, postpartum hemorrhage, placental residue and fetal distress in abortion group was higher than that in medical abortion group (P <0.05). There was no significant difference in the incidence of preterm birth, cesarean section, stillbirth and low birth weight between two groups (P> 0.05). Conclusions Both abortion and medical abortion can be used as the method of termination of pregnancy. However, medical abortion can reduce the incidence of complications of pregnancy and childbirth in the first trimester pregnancy. Therefore, abortion may be the priority in terminating pregnancy.