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在基层医疗环境中提供堕胎服务。

Providing Abortion Services in the Primary Care Setting.

作者信息

Amico Jennifer R, Cheng Terri L, Godfrey Emily M

机构信息

Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, 125 Paterson Street, MEB 262, New Brunswick, NJ 08901, USA.

Department of Family Medicine and Public Health, University of California San Diego, 200 West Arbor Drive #8201A, San Diego, CA 92103, USA.

出版信息

Prim Care. 2018 Dec;45(4):599-613. doi: 10.1016/j.pop.2018.07.010.

DOI:10.1016/j.pop.2018.07.010
PMID:30401344
Abstract

Patients commonly present with unintended pregnancy in the primary care setting, and 1 in 4 women has an abortion in her lifetime. Early abortion services can be safely provided in the primary care setting. Abortion options provided in primary care settings include both medication abortion and early uterine aspiration abortion. Medication abortion, provided up to 10 weeks' gestational age, includes mifepristone (a progestin antagonist) and misoprostol (a prostaglandin). Uterine aspiration can be provided via manual or electronic vacuum in the first trimester.

摘要

患者常在初级保健机构出现意外怀孕情况,四分之一的女性一生中会经历一次堕胎。早期堕胎服务可在初级保健机构安全提供。初级保健机构提供的堕胎选择包括药物流产和早期子宫吸刮术。药物流产适用于妊娠10周以内,包括米非司酮(一种孕激素拮抗剂)和米索前列醇(一种前列腺素)。孕早期可通过手动或电动真空吸引进行子宫吸刮术。

相似文献

1
Providing Abortion Services in the Primary Care Setting.在基层医疗环境中提供堕胎服务。
Prim Care. 2018 Dec;45(4):599-613. doi: 10.1016/j.pop.2018.07.010.
2
Medical methods of early abortion in developing countries. Consensus statement. The Population Council.发展中国家早期人工流产的医学方法。共识声明。人口理事会。
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Efficacy of early induced medical abortion with mifepristone when beginning progestin-only contraception on the same day.同一天开始单纯孕激素避孕时米非司酮早期诱导药物流产的疗效。
Int J Gynaecol Obstet. 2016 Jun;133(3):329-33. doi: 10.1016/j.ijgo.2015.11.009. Epub 2016 Feb 13.
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Current medical abortion care.当前的药物流产护理。
Curr Womens Health Rep. 2003 Dec;3(6):461-9.
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Medical methods for first trimester abortion.孕早期人工流产的医学方法。
Cochrane Database Syst Rev. 2004(1):CD002855. doi: 10.1002/14651858.CD002855.pub2.
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A randomised controlled trial of mifepristone in combination with misoprostol administered sublingually or vaginally for medical abortion up to 13 weeks of gestation.一项关于米非司酮联合米索前列醇经舌下或阴道给药用于妊娠13周以内药物流产的随机对照试验。
BJOG. 2005 Aug;112(8):1102-8. doi: 10.1111/j.1471-0528.2005.00638.x.
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Termination of pregnancy at 9-13 weeks' amenorrhoea with mifepristone and misoprostol.米非司酮与米索前列醇用于停经9 - 13周的终止妊娠。
Lancet. 1998 Aug 15;352(9127):542-3. doi: 10.1016/S0140-6736(05)79250-3.
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Mifepristone.米非司酮
CMAJ. 2018 Jun 4;190(22):E688. doi: 10.1503/cmaj.180047.
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Misoprostol dose and route after mifepristone for early medical abortion: a randomised controlled noninferiority trial.米非司酮后不同剂量及途径应用米索前列醇用于早期药物流产的随机对照非劣效性临床试验
BJOG. 2010 Sep;117(10):1186-96. doi: 10.1111/j.1471-0528.2010.02636.x. Epub 2010 Jun 18.
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Concurrent use of mifepristone and misoprostol for early medical abortion.米非司酮与米索前列醇联合用于早期药物流产。
Taiwan J Obstet Gynecol. 2006 Dec;45(4):325-8. doi: 10.1016/S1028-4559(09)60252-7.

引用本文的文献

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Exploring the impact of mifepristone's risk evaluation and mitigation strategy (REMS) on the integration of medication abortion into US family medicine primary care clinics✰,✰✰.探索米非司酮风险评估与降低策略(REMS)对药物流产纳入美国家庭医学初级保健诊所的影响✰,✰✰ 。
Contraception. 2022 May;109:19-24. doi: 10.1016/j.contraception.2022.01.017. Epub 2022 Feb 4.
2
Systematic review of early abortion services in low- and middle-income country primary care: potential for reverse innovation and application in the UK context.系统综述在中低收入国家初级保健中的早期流产服务:在英国背景下的反向创新和应用的潜力。
Global Health. 2020 Sep 30;16(1):91. doi: 10.1186/s12992-020-00613-z.
3
Medication to Manage Abortion and Miscarriage.
用于处理堕胎和流产的药物。
J Gen Intern Med. 2020 Aug;35(8):2398-2405. doi: 10.1007/s11606-020-05836-9. Epub 2020 May 14.