The adaptive capacity of the female body after conducting medical abortion

2014 ◽  
Vol 20 (29) ◽  
pp. 0-0
Author(s):  
Алексеюк ◽  
Maksim Alekseyuk
Keyword(s):  
Menstrual Cycle ◽  
Adaptive Capacity ◽  
Female Body ◽  
Clinical Course ◽  
Medical Abortion ◽  
Second Phase ◽  
Vacuum Aspiration ◽  
Adaptive Capabilities ◽  
Manual Vacuum Aspiration ◽  
First Time

Based on the evaluation of the clinical course and the adaptive capabilities of the organism in the postabortion period after manual vacuum aspiration in 128 patients found that disorder of adaptation and the most frequent complications in the postabortion period observed in the production of abortion in the second phase of the suppositive menstrual cycle , especially in first time pregnant patients. In this way, the abortion in the first phase of "suppositive" menstrual cycle is the reserve for increasing the safety of abortion by MVA.

scholarly journals Comparison of Medical Abortion with Manual Vacuum Aspiration in Termination of Pregnancy up to Nine Weeks

2020 ◽  
Vol 18 (1) ◽  
pp. 116-119
Author(s):  
Kanti Prabha Giri ◽  
Ganesh Dangal
Keyword(s):  
Vaginal Bleeding ◽  
Medical Abortion ◽  
First Trimester ◽  
Termination Of Pregnancy ◽  
Chi Square ◽  
Vacuum Aspiration ◽  
First Trimester Pregnancy ◽  
Manual Vacuum Aspiration ◽  
Comprehensive Abortion Care

Background: Nepal government has legalized abortion and approved both medical abortion and manual vacuum aspiration for first trimester pregnancy. However, there is inadequate evidence in our setup to comment on the acceptability and complications of medical abortion and manual vacuum aspiration for termination of pregnancy up to nine weeks of gestation. The objective of this study is to compare the reasons for termination of pregnancy, effectiveness and complications between medical abortion and manual vacuum aspiration in termination of pregnancy up to nine weeks.Methods: A comparative study was conducted among women requesting termination of pregnancy up to nine weeks of gestation in Comprehensive Abortion Care unit of Paropakar Maternity and Women’s Hospital. Women were kept in medical abortion and manual vacuum aspiration groups after they chose the method. They were advised for follow up in two weeks. Reasons for termination, effectiveness and complications of medical abortion and manual vacuum aspiration were compared using Chi square test.Results: In a total of 160 women, the most common reason for termination of pregnancy was completion of the family. In manual vacuum aspiration group 43 (58.9%) women had minimal per vaginal bleeding while 30 (40.54%) women in medical abortion group had per vaginal bleeding for 6-10 days (p <0.001). Rate of complete abortion in medical abortion group was 85.14% (n=63) and in manual vacuum aspiration group was 93.15% (n=68). Conclusions: The complications following medical abortion were higher than manual vacuum aspiration in termination of pregnancy up to nine weeks. Rate of completeness of abortion following manual vacuum aspiration is superior over medical abortion.Keywords: Manual vacuum aspiration; Medical abortion; Termination of pregnancy

scholarly journals Medical Abortion Versus Manual Vacuum Aspiration in a Hilly District Hospital of Eastern Nepal: A Comparative Study

2015 ◽  
Vol 11 (3) ◽  
pp. 206-209 ◽  
Author(s):  
OB Panta ◽  
D Bhattarai ◽  
N Parajuli
Keyword(s):  
District Hospital ◽  
Medical Abortion ◽  
First Trimester ◽  
Rural Setting ◽  
World Health ◽  
Medical Attention ◽  
Vacuum Aspiration ◽  
Contraception Use ◽  
District Hospitals ◽  
Manual Vacuum Aspiration

Backgroud Nepal government has approved medical abortion and manual vacuum aspiration for early first trimester pregnancy. Both the procedures have been approved by World Health Organization for use in early first trimester. Objectives The study aims to compare efficacy and safety of medical abortion with surgical abortion in a district hospital of rural eastern Nepal. Method An observational study conducted in district hospital, dhankuta from July 2010 to January 2011. Clients for abortion services were counseled about methods of abortion and were allowed to make decision on their own and classified as medical abortion group (N=48) (receiving 200milligram Mifepristone followed by 800 microgram misoprostol sublingually or vaginally on day two)and manual vacuum aspiration group (N=36). The two groups were compared for rate of complete abortion and other complications and contraception use after procedure. Results Rate of complete abortion was similar in both groups, 95.8% among medical abortion and 97.2% in manual vacuum aspiration. Moderate to severe expulsion bleeding was reported in 91.6% of cases after Medical Abortion but none required medical attention for hemorrhage. Condom was the most preferred contraceptive in medical abortion group and depo provera in manual vacuum aspiration group. Conclusion Medical method of abortion using mifepristone and misoprostol is equally safe and effective as manual vacuum aspiration in rural setting district hospitals of Nepal. DOI: http://dx.doi.org/10.3126/kumj.v11i3.12505 Kathmandu Univ Med J 2013; 43(3):206-209

scholarly journals INTEGRATED ASSESSMENT OF THE FUNCTIONAL STATE OF HEALTHY STUDENTS IN DEPENDENCE ON THE PHASE AND THE DURATION OF THE MENSTRUAL CYCLE

2019 ◽  
Vol 23 (2) ◽  
pp. 141-146 ◽  
Author(s):  
G. A. Penzhoyan ◽  
Yu. V. Kashina ◽  
V. G. Abyshkevich ◽  
V. M. Pokrovsky
Keyword(s):  
Menstrual Cycle ◽  
Adaptive Capacity ◽  
Functional State ◽  
Luteal Phase ◽  
Follicular Phase ◽  
Menstrual Disorders ◽  
Mean Values ◽  
Adaptive Capabilities ◽  
The Mean ◽  
Status Index

Relevance: one of the causes of menstrual disorders are functional disorders associated with a violation of the central regulatory level.The aim: integratively assess the functional state of healthy girls, depending on the phase and duration of the menstrual cycle. Materials and methods: observations were performed on 65 practically healthy girls 18-19 years old with regular menstrual cycles. They conducted questionnaires, gynecological examinations, tests on functional diagnostics tests, ultrasound scanning of pelvic organs. To determine the phases of the menstrual cycle used the method of Ogin-Knaus, the onset of ovulation used a test for luteinizing hormone (strip tests of the brand Eviplan). The concentration in the blood of estradiol and progesterone was selectively determined. All subjects underwent a cardio-respiratory synchronism test. The parameters of the serous-respiratory synchronism determined the index of the regulatory-adaptive status, and according to it the regulatory-adaptive capabilities (functional state) were evaluated. Statistical analysis of the results of the study was carried out using the following programs: «STATISTICA 10» of «Stat Soft, Inc.». After establishing the normal distribution of the variant, significant differences were used in comparing the mean values in paired comparisons, taking the t-test of Student for p < 0.05. Results: in 35 people the duration of the menstrual cycle was 21-27 days. In the follicular phase, the regulatory-adaptive status index was 183.0 ± 0.4, which indicated a high regulatory adaptive capacity. In the luteal phase, respectively, 60.1 ± 0.3, - good regulatory adaptive capacity. In 30 watchers, the cycle was 28 to 32 days. In the follicular phase, the regulatory-adaptive status index was 156.5 ± 0.6. Regulatory adaptive capabilities were good. In the luteal phase, respectively, 52.4 ± 0.5 are good regulatory adaptive capacities. The conclusion: Regulatory adaptive opportunities for female students are greater in the follicular phase of the menstrual cycle than in the luteal cycle. Regulatory adaptive capacity is greater for a cycle of 21 to 27 days than for a cycle of 28 to 32 days.

Medical abortion and manual vacuum aspiration for legal abortion protect women’s health and reduce costs to the health system: findings from Colombia

2014 ◽  
Vol 22 (sup44) ◽  
pp. 125-135 ◽  
Author(s):  
Maria Isabel Rodriguez ◽  
Willis Simancas Mendoza ◽  
Camilo Guerra-Palacio ◽  
Nelson Alvis Guzman ◽  
Jorge E Tolosa
Keyword(s):  
Health System ◽  
Women’S Health ◽  
Women's Health ◽  
Medical Abortion ◽  
Legal Abortion ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration

scholarly journals Situation Analysis of Patients Attending TU Teaching Hospital after Medical Abortion with Problems and Complications

2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Neebha Ojha ◽  
Kesang D Bista
Keyword(s):  
Teaching Hospital ◽  
Medical Abortion ◽  
University Teaching ◽  
Dissemination And Implementation ◽  
Situation Analysis ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Manual Vacuum Aspiration ◽  
A Prospective Study ◽  
Adequate Supervision

Introduction: In Nepal medical abortion has been approved for use since 2009. There were manycases coming to Tribhuvan University Teaching Hospital coming with problems and complicationsfollowing medical abortion. Thus the objective of this study was to analyze the cases that came toTUTH following medical abortion with problems and complications.Methods: This is a prospective study conducted in the Department of Obstetrics and Gynecologyof TUTH. Study was carried from 1st August 2011 to 30th November 2012. Women who came toTUTH with any complaints following medical abortion were interviewed, examined and treatmentprovided. Relevant clinical finding were noted.Results: There were a total of 57 cases during the study. Most (66.6%) of the women were in agegroup 20-29 years age. There were 45 (79%) women who had abortion up to 9 weeks. Medical shopwas the main place where most of the women (45.6%) directly come to know about medical abortion.More than 34 (77.2%) received the service from medical shops without any supervision. Most 31(54.4%) presented with incomplete abortion. There were three cases of continuing pregnancy andfour presented with ectopic pregnancy. Eighteen (31.6%) cases needed admission. Fifty six percentof the cases were treated with manual vacuum aspiration, six cases underwent laparotomy and therewas one maternal mortality.Conclusions: There is a need for proper dissemination and implementation of guideline formanagement of these women and adequate supervision to reduce the problems and complications._______________________________________________________________________________________Keywords: complications; incomplete abortion; medical abortion; problems.

TBE in Sweden

2020 ◽  
Keyword(s):  
Genetic Characterization ◽  
Immunoglobulin M ◽  
Enzyme Linked Immunosorbent Assay ◽  
Second Phase ◽  
Serum Samples ◽  
Tick Borne Encephalitis ◽  
Specific Immunoglobulin ◽  
Tick Borne Encephalitis Virus ◽  
First Time

Tick-borne encephalitis virus (TBEV) was isolated for the first time in Sweden in 1958 (from ticks and from 1 tick-borne encephalitis [TBE] patient).1 In 2003, Haglund and colleagues reported the isolation and antigenic and genetic characterization of 14 TBEV strains from Swedish patients (samples collected 1991–1994).2 The first serum sample, from which TBEV was isolated, was obtained 2–10 days after onset of disease and found to be negative for anti-TBEV immunoglobulin M (IgM) by enzyme-linked immunosorbent assay (ELISA), whereas TBEV-specific IgM (and TBEV-specific immunoglobulin G/cerebrospinal fluid [IgG/CSF] activity) was demonstrated in later serum samples taken during the second phase of the disease.

Optimization of the treatment-diagnostic approach to manual vacuum-aspiration at post-partum pyo-inflammatory diseases

2018 ◽  
pp. 40-45
Author(s):  
O.V. Bulavenko ◽  
◽  
L.R. Ostapiuk ◽  
V.O. Rud ◽  
A.S. Voloshinovskii ◽  
...  
Keyword(s):  
Fluorescence Spectroscopy ◽  
Inflammatory Diseases ◽  
Post Partum ◽  
Uterine Cavity ◽  
Short Wave ◽  
Main Group ◽  
Optimal Time ◽  
Control Group ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration

The problem of postpartum pyo-inflammatory diseases requires the introduction of new approaches to its solution and optimization of diagnostic and therapeutic developments. The objective: was to determine the optimal time for manual vacuum aspiration of the uterus in postpartum endometritis, correction of therapeutic tactics and control of patients in the framework of the method of fluorescence spectroscopy. Materials and methods. The main group – 170 women with postpartum pyo-inflammatory diseases, control group – 40 women with uncomplicated course of the postpartum period. Their blood serum was examined using the method of fluorescence spectroscopy, in particular after manual vacuum aspiration of the uterus. Results. Fluorescence spectra were studied for 40 women of control group and 170 women of the main group, among them in 44 (25.8%) – in the dynamics during the treatment after manual vacuum aspiration of the uterine cavity. In 93.2% of the patients in the main group after it an increase in fluorescence intensity and max displacement in the short-wave region were recorded, which was a reliable sign of improving the condition of the patients. Conclusion. The use of the method of fluorescence spectroscopy in postpartum endometritis after manual vacuum aspiration of the uterus significantly helps to improve the monitoring of the process of treatment and, if necessary, to correct it in order to recover the patients in time. Key words: endometritis, manual vacuum aspiration of the uterus, the method of fluorescence spectroscopy.

CLINIC AND COMPLICATIONS OF COVID-19 CORONAVIRUS DISEASE WITH PATHOGENESIS ELEMENTS

2020 ◽  
pp. 72-79
Author(s):  
I. V. Аndrusovich
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Tract ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Clinical Symptoms ◽  
Clinical Course ◽  
Clinical Manifestations ◽  
Second Phase ◽  
Upper Respiratory Tract

The longer the COVID−19 coronavirus pandemic lasts, the more information about its clinical manifestations is accumulated. The incubation period of COVID−19 ranges from 2 to 14 days, rarely up to 3 weeks, but in a significant number of cases an infection is not accompanied with the appearance of clinical symptoms. Currently, the following variants of the clinical course of COVID−19 can be identified as follows: viral load; subclinical; slight; uncomplicated with damage to only the upper respiratory tract; mild pneumonia, severe pneumonia, acute respiratory distress syndrome, etc. The clinical course of COVID−19 depends on the severity, the criteria of which are the intoxication manifestation, the degree of fever and the dominant syndrome. Mild / moderate forms are manifested by frequent increase in body temperature up to 38 ° C, respiratory symptoms, headache, myalgias, palpitations and general malaise. Patients stop distinguishing smells and feel the taste of food. Approximately from the 7th to the 9th days of the disease there are problems with breathing, which indicates the impairment of the lower respiratory tract and the beginning of the second phase of the disease, and its course is regarded as severe. Severe forms of the disease can also be manifested by impaired coordination of movements, slurred speech. In 1 to 4 % of patients there is developed the psychosis in the form of hallucinations. In the elderly, COVID−19 may be accompanied by delirium, lowering blood pressure. The risks of adverse disease are associated with somatic diseases: cardiovascular and nervous systems, respiratory tract, hormonal disorders, etc. Otitis, sinusitis, sepsis, bronchopulmonary infection, thrombosis, myocarditis etc. can be the complications of COVID−19. Computer tomography is an instrumental test that demonstrates the damage of lungs with coronavirus and allows to assess its severity. Key words: coronavirus infection, COVID−19, clinical variants, severity, pneumonia, acute respiratory distress syndrome.

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