Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal.
J Nepal Health Res Counc. 2020 Sep 8;18(2):330-331. doi: 10.33314/jnhrc.v18i2.2461.
Medical induction is an alternative to dilatation and evacuation (D and E) in second trimester abortion, though it has higher risk of minor complications compared to D and E. Combination of mifepristone and misoprostol is commonly used for the medical abortion. A 32 years G3P2L2 with previous two cesarean delivery was referred to our center at sixteen weeks of gestation for termination of her pregnancy. After 63 doses of misoprostol, she had to undergo unintended major intra-abdominal surgery for partial uterine rupture. Keywords: Dilatation and evacuation; medical induction; second trimester abortion; uterine rupture.
医学诱导是中期妊娠流产中扩宫排空术（D&E）的替代方法，尽管与 D&E 相比，它有更高的轻微并发症风险。米非司酮和米索前列醇联合常用于药物流产。一位 32 岁的 G3P2L2 经产妇，前两次均行剖宫产术，妊娠 16 周时转诊至我院行终止妊娠术。米索前列醇使用 63 剂后，她不得不因部分子宫破裂而接受意外的重大开腹手术。关键词：扩宫排空术；医学诱导；中期妊娠流产；子宫破裂。
