Das Rituparna, Panda Subrat, Sharma Nalini, Deb Prakash
Department of Obstetrics and Gynaecology, Critical Care and Pain, NEIGRIHMS, Shillong, Meghalaya, India.
Department of Anaesthesia, Critical Care and Pain, NEIGRIHMS, Shillong, Meghalaya, India.
J Family Med Prim Care. 2022 May;11(5):2226-2227. doi: 10.4103/jfmpc.jfmpc_1301_21. Epub 2022 May 14.
Medical abortion using mifepristone-misoprostol regimen has been considered to be a safe and effective method for pregnancy termination. Misoprostol is a frequently used well tolerated drug with mild and transient side effects. Considering the safety profile mifepristone-misoprostol regimen has also been advocated by many for home-based medical abortion. However, we report herein a rare case of hypersensitivity reaction to sublingual misoprostol administered for first trimester medical abortion, where timely diagnosis and prompt intervention prevented life-threatening airway obstruction. The possibility of such rare event should be kept in mind and included in patient counselling and information especially for those who opt for outpatient abortion care so that they can seek medical help at the earliest.
使用米非司酮-米索前列醇方案进行药物流产被认为是一种安全有效的终止妊娠方法。米索前列醇是一种常用且耐受性良好的药物,副作用轻微且短暂。鉴于其安全性,米非司酮-米索前列醇方案也被许多人提倡用于居家药物流产。然而,我们在此报告一例罕见的对用于孕早期药物流产的舌下含服米索前列醇发生过敏反应的病例,及时诊断和迅速干预预防了危及生命的气道阻塞。应牢记这种罕见事件的可能性,并纳入患者咨询和信息告知中,尤其是对于那些选择门诊流产护理的患者,以便他们能尽早寻求医疗帮助。