Department of Family and Community Medicine, University of New Mexico, MSC 09 5040, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Obstet Gynecol Clin North Am. 2013 Dec;40(4):647-70. doi: 10.1016/j.ogc.2013.08.006.
New data have emerged to support changes in first-trimester abortion practice in regard to antibiotic prophylaxis, cervical ripening, the use of manual vacuum aspiration, and pain management. This article addresses these new recommendations and reviews techniques in performing manual and electric vacuum uterine aspiration procedures before 14 weeks' gestation, including very early abortion (<7 weeks' gestation), technically difficult abortions, management of complications, and postabortal contraception. The information discussed also applies to miscarriage management.
新的数据支持在早孕流产实践中改变抗生素预防、宫颈成熟、手动真空吸引和疼痛管理的做法。本文介绍了这些新建议,并回顾了在 14 周妊娠前进行手动和电动真空子宫吸引术的技术,包括极早期流产(<7 周妊娠)、技术困难的流产、并发症的处理以及流产后避孕。讨论的信息也适用于流产管理。