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人工流产后的妊娠结局。皇家全科医师学院与皇家妇产科学院联合研究报告。

Outcome of pregnancy following induced abortion. Report from the joint study of the Royal College of General Practitioners and the Royal College of Obstetricians and Gynaecologists.

作者信息

Frank P I, Kay C R, Lewis T L, Parish S

出版信息

Br J Obstet Gynaecol. 1985 Apr;92(4):308-16. doi: 10.1111/j.1471-0528.1985.tb01102.x.

Abstract

A total of 1590 general practitioners and 795 gynaecologists in England, Scotland and Wales are participating in a long-term, prospective study concerning the sequelae of induced abortion. In the present report a comparison is made between the outcome of the first post-index pregnancy in 745 women whose index pregnancy ended in an induced abortion (cases) and that in 1339 women who had an unplanned index pregnancy but were not referred for induced abortion (controls). There were no statistically significant differences between cases and controls. The increased relative risk which was found amongst the induced abortion group of non-viable outcome, low birthweight and shortened gestation, could have arisen by chance. Further analysis of a larger number of pregnancies is required to permit confident interpretation of these observations. The present data provide no reason for alterations in the current management of induced abortion, or the subsequent pregnancy.

摘要

英格兰、苏格兰和威尔士共有1590名全科医生和795名妇科医生参与了一项关于人工流产后遗症的长期前瞻性研究。在本报告中,对745名人工流产终止本次妊娠的妇女(病例组)和1339名意外妊娠但未接受人工流产的妇女(对照组)首次妊娠后的结局进行了比较。病例组和对照组之间无统计学显著差异。人工流产组中出现的非存活结局、低出生体重和妊娠缩短的相对风险增加可能是偶然发生的。需要对更多妊娠进行进一步分析,以便对这些观察结果进行可靠的解释。目前的数据没有理由改变当前人工流产的管理方式或后续妊娠的处理方式。

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