Department of Pediatrics, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Contraception. 2010 Jan;81(1):1-7. doi: 10.1016/j.contraception.2009.08.004.
While pregnant women have sought abortifacients for thousands of years, they had no success at finding one that both worked and did not jeopardize their lives in the process. The discovery of mifepristone, with both anti-glucocorticoid and anti-progesterone properties, has had a profound effect on women's lives while weaving the abortion-related political hazards. Despite the controversies, millions of women around the world have used mifepristone for medical abortion. This review describes how researchers addressed the numerous barriers of a mifepristone abortion (i.e., gestational age limitation, lengthy process, high costs, complex regimen, failures, side effects and complications) and continue to improve upon the limited numbers and types of clinicians offering mifepristone.
虽然孕妇几千年来一直在寻找堕胎药,但一直未能找到一种既能有效堕胎又不会危及生命的药物。米非司酮的发现具有抗糖皮质激素和抗孕激素的特性,对女性的生活产生了深远的影响,同时也带来了与堕胎相关的政治风险。尽管存在争议,但全世界数以百万计的妇女已经使用米非司酮进行药物流产。本综述描述了研究人员如何解决米非司酮流产的诸多障碍(即妊娠期限限制、过程冗长、费用高、方案复杂、失败、副作用和并发症),并继续改进提供米非司酮的临床医生人数和类型有限的问题。