有过重复终止妊娠史的女性更倾向于选择药物流产还是手术流产？

Do women with a repeat termination of pregnancy prefer a medical or a surgical regimen?

机构信息

Department of Obstetrics and Gynecology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.

出版信息

Acta Obstet Gynecol Scand. 2014 Mar;93(3):308-11. doi: 10.1111/aogs.12305. Epub 2014 Jan 7.

PMID:24251963

Abstract

We compared the risk of a repeat termination and the method of termination in women with a prior medical or surgical termination, or both, in a cohort study of women with a pregnancy termination at gestational age ≤63 days in 1999-2001. Within 5 years, 24% (330/1379) had a repeat abortion, and repeat terminations were more frequent in the surgical [27% (159/588)] than the medical group [22% (171/791)] (p < 0.05). The method used at the repeat termination was medical in 49% (83/171) of women with an earlier medical termination, compared with 13% (21/159) (p < 0.01) in women with an earlier surgical termination. In 125 women who had experienced both procedures, 37% (46/125) of the next terminations were performed medically and 63% (79/125) surgically (p < 0.01). Women in our study with a repeat termination tended to choose the same method as used before, and more often a surgical termination.

摘要

我们比较了在 1999-2001 年期间妊娠终止年龄≤63 天的女性队列研究中，有过先前医疗或手术终止妊娠史或两者皆有的女性再次终止妊娠的风险和终止妊娠方式。在 5 年内，24%（330/1379）的女性发生了再次流产，手术组（27%，159/588）比医疗组（22%，171/791）再次终止妊娠的频率更高（p<0.05）。在先前有过医疗终止妊娠的女性中，49%（83/171）的女性在再次终止妊娠时选择了药物流产，而在先前有过手术终止妊娠的女性中，这一比例为 13%（21/159）（p<0.01）。在经历过两种手术的 125 名女性中，37%（46/125）的下一次终止妊娠采用了药物流产，63%（79/125）采用了手术流产（p<0.01）。在我们的研究中，有再次终止妊娠的女性倾向于选择与之前相同的方法，更多的是手术流产。