妇女对初产妇流产的药物治疗与手术治疗的看法

Elzein Azza Mustafa, Ahmed Hajar Suliman Ibrahim, Suliman Awadalla Abdelwahid, Handay Siddig Omer M, Omer Gamar Bushra, Musa Sahar Ali
{"title":"妇女对初产妇流产的药物治疗与手术治疗的看法","authors":"Elzein Azza Mustafa, Ahmed Hajar Suliman Ibrahim, Suliman Awadalla Abdelwahid, Handay Siddig Omer M, Omer Gamar Bushra, Musa Sahar Ali","doi":"10.29328/journal.cjog.1001150","DOIUrl":null,"url":null,"abstract":"Background: Miscarriage is a common gynecological problem and early pregnancy loss occurs in the first trimester. Early pregnancy miscarriage is managed expectantly, surgically, and medically. Medical management is a new treatment option, also surgical evacuation is the standard treatment for some types and presentations of miscarriage. Medical management might be more suitable instead of surgical evacuation, it may be less costly than surgical treatment and consequently, due to its lower complications, most patients prefer it. Purpose: This study aimed to determine women's perception of medical treatment versus surgical intervention, complications associated with surgical procedures, and medical treatment. Methodology: It was a comparative, hospital-based study conducted in Bashair Teaching Hospital, on 336 patients diagnosed with miscarriage in the first trimester, 168(group A) were treated medically while 168(group B) were treated surgically. All participating patients in the study fulfilled the selection criteria, that is, the provision of an informed consent and agreement to participate in the study. Results: The total number of women during the period of study was 336. The study found that 239(71%) of women prefer medical management compared to 97 (29%) preferring surgery. The complications associated with the medical treatment were (4.2%) infection, (0.6%) bleeding, and (95.2%) without obvious complications. The complications associated with surgical procedures were (7.7%) developmental infection, (16.1%) bleeding, (10.7%) incomplete evacuation, (1.8%) uterine perforation, and (63.7%) without obvious complications. Conclusion: The study found that over two-thirds of patients Favor medical treatment over surgical procedures. It has also revealed that medical treatment is very effective in terminating pregnancies within the first trimester.","PeriodicalId":505668,"journal":{"name":"Clinical Journal of Obstetrics and Gynecology","volume":"61 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Women's Perceptions of Medical Treatment Versus Surgical Management of First-trimester Miscarriage\",\"authors\":\"Elzein Azza Mustafa, Ahmed Hajar Suliman Ibrahim, Suliman Awadalla Abdelwahid, Handay Siddig Omer M, Omer Gamar Bushra, Musa Sahar Ali\",\"doi\":\"10.29328/journal.cjog.1001150\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Miscarriage is a common gynecological problem and early pregnancy loss occurs in the first trimester. Early pregnancy miscarriage is managed expectantly, surgically, and medically. Medical management is a new treatment option, also surgical evacuation is the standard treatment for some types and presentations of miscarriage. Medical management might be more suitable instead of surgical evacuation, it may be less costly than surgical treatment and consequently, due to its lower complications, most patients prefer it. Purpose: This study aimed to determine women's perception of medical treatment versus surgical intervention, complications associated with surgical procedures, and medical treatment. Methodology: It was a comparative, hospital-based study conducted in Bashair Teaching Hospital, on 336 patients diagnosed with miscarriage in the first trimester, 168(group A) were treated medically while 168(group B) were treated surgically. All participating patients in the study fulfilled the selection criteria, that is, the provision of an informed consent and agreement to participate in the study. Results: The total number of women during the period of study was 336. The study found that 239(71%) of women prefer medical management compared to 97 (29%) preferring surgery. The complications associated with the medical treatment were (4.2%) infection, (0.6%) bleeding, and (95.2%) without obvious complications. The complications associated with surgical procedures were (7.7%) developmental infection, (16.1%) bleeding, (10.7%) incomplete evacuation, (1.8%) uterine perforation, and (63.7%) without obvious complications. Conclusion: The study found that over two-thirds of patients Favor medical treatment over surgical procedures. It has also revealed that medical treatment is very effective in terminating pregnancies within the first trimester.\",\"PeriodicalId\":505668,\"journal\":{\"name\":\"Clinical Journal of Obstetrics and Gynecology\",\"volume\":\"61 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-11-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Journal of Obstetrics and Gynecology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.29328/journal.cjog.1001150\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Journal of Obstetrics and Gynecology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.29328/journal.cjog.1001150","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:流产是一种常见的妇科疾病,早孕流产多发生在妊娠头三个月。孕早期流产的治疗方法有期待疗法、手术疗法和药物疗法。药物治疗是一种新的治疗方法,而对于某些类型和表现的流产,手术排空是标准的治疗方法。药物治疗可能比手术排空更适合,它可能比手术治疗花费更少,因此,由于并发症较少,大多数患者更愿意选择药物治疗。目的:本研究旨在了解妇女对药物治疗与手术干预的看法、与手术相关的并发症以及药物治疗。研究方法:这是一项以医院为基础的比较研究,在巴沙伊尔教学医院进行,对象是 336 名被诊断为妊娠头三个月流产的患者,其中 168 人(A 组)接受药物治疗,168 人(B 组)接受手术治疗。所有参与研究的患者均符合选择标准,即提供知情同意书并同意参与研究。研究结果研究期间的妇女总人数为 336 人。研究发现,239 名妇女(71%)选择药物治疗,97 名妇女(29%)选择手术治疗。与药物治疗相关的并发症有(4.2%)感染、(0.6%)出血和(95.2%)无明显并发症。与手术治疗相关的并发症有:(7.7%)发展感染;(16.1%)出血;(10.7%)排空不完全;(1.8%)子宫穿孔;(63.7%)无明显并发症。结论研究发现,超过三分之二的患者青睐药物治疗而非手术治疗。研究还显示,药物治疗对在妊娠头三个月内终止妊娠非常有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Women's Perceptions of Medical Treatment Versus Surgical Management of First-trimester Miscarriage
Background: Miscarriage is a common gynecological problem and early pregnancy loss occurs in the first trimester. Early pregnancy miscarriage is managed expectantly, surgically, and medically. Medical management is a new treatment option, also surgical evacuation is the standard treatment for some types and presentations of miscarriage. Medical management might be more suitable instead of surgical evacuation, it may be less costly than surgical treatment and consequently, due to its lower complications, most patients prefer it. Purpose: This study aimed to determine women's perception of medical treatment versus surgical intervention, complications associated with surgical procedures, and medical treatment. Methodology: It was a comparative, hospital-based study conducted in Bashair Teaching Hospital, on 336 patients diagnosed with miscarriage in the first trimester, 168(group A) were treated medically while 168(group B) were treated surgically. All participating patients in the study fulfilled the selection criteria, that is, the provision of an informed consent and agreement to participate in the study. Results: The total number of women during the period of study was 336. The study found that 239(71%) of women prefer medical management compared to 97 (29%) preferring surgery. The complications associated with the medical treatment were (4.2%) infection, (0.6%) bleeding, and (95.2%) without obvious complications. The complications associated with surgical procedures were (7.7%) developmental infection, (16.1%) bleeding, (10.7%) incomplete evacuation, (1.8%) uterine perforation, and (63.7%) without obvious complications. Conclusion: The study found that over two-thirds of patients Favor medical treatment over surgical procedures. It has also revealed that medical treatment is very effective in terminating pregnancies within the first trimester.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信