Comparison of complications associated with induction by misoprostol versus dilation and evacuation for second-trimester abortion.
Int J Gynaecol Obstet
; 138(3): 272-275, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28585710
ABSTRACT
OBJECTIVE:
To compare the frequency of complications between medical induction with misoprostol and dilation and evacuation (D&E) for second-trimester uterine evacuation.METHODS:
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 D&E, and clinical covariates associated with complications were assessed.RESULTS:
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 D&E group (P<0.001). One or more serious complications occurred in 4 (3.3%) women undergoing medical induction and 5 (1.5%) undergoing D&E (P=0.251). Logistic regression analysis demonstrated that increasing pregnancy length (P=0.003) and medical induction (as compared with D&E; P=0.004) were associated with complications.CONCLUSION:
Although D&E resulted in fewer overall complications as compared with medical induction, the rate of serious complications did not differ between the two procedures.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Segundo Trimestre da Gravidez
/
Abortivos não Esteroides
/
Misoprostol
/
Aborto Induzido
/
Dilatação e Curetagem
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Int J Gynaecol Obstet
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos