Niinimäki Maarit, Heikinheimo Oskari
OYS:n synnytys- ja naistentautien klinikka, OYS.
Duodecim. 2011;127(1):67-73.
Bloody discharge in early pregnancy is the most common cause of gynecological out-of-hours consultation. With the ultrasound equipment becoming more common, the diagnostics of miscarriages is also increasingly possible within primary health care. Before the treatment decision, the doctor should reliably distinguish a viable pregnancy from miscarriage, and recognize the possibility of extrauterine pregnancy. Miscarriages can be treated with mechanical emptying of the uterus (curettage) or with anti-contraction medication, or the situation may be left under surveillance. The treatment is largely dictated by the type of miscarriage. Drug therapy has been found to be safe and has consolidated its position.
孕早期阴道流血是妇科非工作时间咨询最常见的原因。随着超声设备越来越普及，在初级卫生保健机构内也越来越有可能诊断出流产。在做出治疗决定之前，医生应准确区分存活妊娠与流产，并认识到宫外孕的可能性。流产可以通过机械性清空子宫（刮宫）或使用宫缩抑制剂进行治疗，也可以对情况进行监测。治疗方法很大程度上取决于流产的类型。药物治疗已被证明是安全的，并巩固了其地位。
