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A study of admissions to Ward 1, Port of Spain General Hospital for early pregnancy loss: May-June 1999 - Poster abstract
Busby, George O. D; Kuruvilla, Ajit G; Ramsewak, Samuel S; Modeste, K.
Afiliação
  • Busby, George O. D; Port of Spain General Hospital, Trinidad and Tobago. Department of Obstetrics and Gynaecology
  • Kuruvilla, Ajit G; Port of Spain General Hospital, Trinidad and Tobago. Department of Obstetrics and Gynaecology
  • Ramsewak, Samuel S; Port of Spain General Hospital, Trinidad and Tobago. Department of Obstetrics and Gynaecology
  • Modeste, K; Port of Spain General Hospital, Trinidad and Tobago. Department of Obstetrics and Gynaecology
West Indian med. j ; 49(Suppl. 2): 53, Apr. 2000.
Artigo em Inglês | MedCarib | ID: med-918
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT

OBJECTIVE:

To compare early pregnancy loss in spontaneous versus induced abortions and determine the most common methods of pregnancy termination. DESIGN AND

METHODS:

In this prospective study, 205 patients admitted to Ward 1, Port of Spain General Hospital from May 1 to June 31, 1999 were interviewed with respect to age and circumstances surrounding thier pregnancy loss. Patient records were subsequently examined to obtain results of investigations and medical or surgical interventions undertaken.

RESULTS:

Patient were placed into 3 groups spontaneous abortions (SA), induced abortions (1A) (all types) and mosprostol-induced abortions (MA). Patients' ages ranged from 14 to 43 years (mean 25 years). Length of hospital stay ranged from 1 to 24 days (mean 2.1 days). There was no difference in patient age or length of hospital stay among the three groups. Patients in the MA group exhibited increased rates of sepsis (53.7 percent vs 34.5 percent in the SA group), more episodes of blood transfusion (18.5 percent, MA vs 8.8 percent, SA) and had a higher rate of incomplete abortions (79.8 percent, MA vs. 59.0 percent SA). This led to an increased need for surgical intervention (72.2 percent, MA vs 49.1 percent, IA). Patients in the SA group display intermediate values in all parameters.

CONCLUSIONS:

Self-medication with Misoprostol is by far the most popular method of termination of unwanted pregnancy in this population. It was associated with increased rates of sepsis, anaemia and necessity for surgical evacuation of the uterus when compared with IA in the same population.(AU)
Assuntos
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Misoprostol / Aborto Induzido / Aborto Terapêutico / Ameaça de Aborto Tipo de estudo: Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Adolescente / Adulto / Gravidez País/Região como assunto: Caribe Inglês / Trinidad e Tobago Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2000 Tipo de documento: Artigo
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Misoprostol / Aborto Induzido / Aborto Terapêutico / Ameaça de Aborto Tipo de estudo: Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Adolescente / Adulto / Gravidez País/Região como assunto: Caribe Inglês / Trinidad e Tobago Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2000 Tipo de documento: Artigo
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