scholarly journals The Retrospective Analysis on the Influence of Taking Mifepristone and Misoprostol During First-trimester Pregnancy and Its Following Impact on Tissue Residual After Induced Abortion

Author(s):  
Hai Xia xie ◽  
Xiao Li Liu ◽  
Jun Jie Sun ◽  
Jian Rong Huang

Abstract Objective: To explore the application of mifepristone in the stream of Residual tissue after abortion . Methods: A retrospective study of 1067 women who selected induced abortion in first-trimester pregnancy(gestational age ≤ 70 days) between January 1st,2018 and May 31st,2019 in Chongqing Health Center For Women and Children . Inclusion criteria: the first pregnancy patients, aged 18-30 years, gestational age ≤ 70 days. Test group (mifepristone + misoprostol) 467 cases. Control group(misoprostol) 600 cases. Analyzing the incidence of residual tissue after induced abortion. Evaluating the preventive effect of preoperative oral mifepristone on abortion incompleteness. Results: a total of 9 in test group occur residual tissue in uterine cavity,the incidence is 1.93%. In the controlled group, the number of residual tissue is 25,the incidence is 4.16%(P<0.05),there was statistic difference between two groups. The uterine residue diameter in the test group(1.1±0.31cm) was lower than that in the control group(1.24±0.64cm),but there was no statistical difference between the two groups of residue diameter (P>0.05)Conclusion: Oral mifepristone before operation can significantly reduce the incidence of tissue residual after induced abortion.

2009 ◽  
Vol 18 (6) ◽  
pp. 832-837 ◽  
Author(s):  
Paula Hedley ◽  
Kasper Pihl ◽  
Lone Krebs ◽  
Torben Larsen ◽  
Michael Christiansen

Author(s):  
Chetana Choudhary ◽  
Lata Rajoria ◽  
Chelsae Kuntal ◽  
Sunita Hemani ◽  
Aditi Bansal ◽  
...  

Introduction: The earliest proof of a viable pregnancy is obtained when cardiac activity of the embryo can be observed. Transvaginal sonography can accurately demonstrate embryonic heart rate at 6 weeks of gestational age by using M-mode transvaginal sonography. Slow embryonic heart rate at 6-7 weeks of gestational age is associated with high rate of first trimester pregnancy loss. AIM:  The study was aimed to evaluate the role of embryonic heart rate (EHR) of early pregnancies as predictive factor of adverse outcome at end of first trimester of pregnancy. Methods: This observational study was conducted in the Department of Obstetrics and Gynecology Zenana Hospital, SMS Medical College, Jaipur. It included 300 pregnant women between 6 weeks to 9 weeks of gestational age attending antenatal OPD. Embryonic heart rate was measured by transvaginal sonography. Embryonic heart rate was classified as slow, if it was fewer than 110 beats/ mint or outcome was measured as occurance of spontaneous pregnancy loss prior to 12 weeks. Results: Out of 300 cases, 290 (96.67%) had embryonic heart rate ?100 beats per minutes and 10(3.33%) had embryonic heart rate <100 beats per minutes. Out of these 290, (Embryonic heart rate ?100 beats per minutes), 284 (97.93%) had good prognosis and 6 (2.07%) had abortion. In 10 women (Embryonic heart rate <100 beats per minutes), 3 (30.00%) had good prognosis and 7 (70.00%) had abortion. This observation was statistically significant. Conclusion: Slow embryonic heart rate on ultrasonography reduced the success of pregnancy and may lead to abortion. Keywords: Embryonic heart rate, Ultrasonography, Early pregnancy loss


2014 ◽  
Vol 290 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Markus Hoopmann ◽  
Svenja Schermuly ◽  
Harald Abele ◽  
Wolfgang Zubke ◽  
Karl Oliver Kagan

2020 ◽  
Vol 15 (1) ◽  
pp. 39-42
Author(s):  
Anupama Bhattarai ◽  
Gehanath Baral

Aims: To evaluate yolk sac diameter as a predictor of first trimester pregnancy outcome. Methods: This was a prospective observational study conducted at Paropakar Maternity and Women’s Hospital from October 2017 to October 2018. Pregnant women in between seven and ten weeks of gestation were enrolled. Transabdominal sonography was performed to measure yolk sac diameter and followed up till 12 weeks of gestation to see the outcome. Sensitivity, specificity, positive predictive value and negative predictive value were calculated for yolk sac diameter with regards to abnormal pregnancy outcome. Results: There were 80 cases enrolled and a significant positive correlation was found between yolk sac diameter and gestational age. Abnormal yolk sac diameter, irrespective of gestational age, had sensitivity of 92.95%, specificity 66.66%, positive predictive value 95.6% and negative predictive value of 54.54% in predicting abnormal pregnancy outcome. Conclusions: The measurement of yolk sac diameter between seventh and tenth weeks of gestation can predict first trimester pregnancy outcome. This is useful while counseling pregnant women regarding risk of abnormal outcome and need for follow up ultrasonography. Keywords: first trimester; pregnancy outcome; prognostic factor; yolk sac diameter


Author(s):  
Nurhidaya Fitria ◽  
◽  
Ida Lestari Tampubolon ◽  

ABSTRACT Background: Nausea and vomiting are common in pregnant women, and the condition may be a mild or severe disabling disease. Nausea and vomiting are common in the early stages of pregnancy, affecting 70-80% of pregnant mothers. In most women, vomiting begins between 4-7 weeks of pregnancy. Nausea and vomiting are usually mild and self-limiting, but some mothers have a deeper course and cause pregnancy vomiting. This study aimed to analyze the effectiveness of ginger extract consumption on reducing morning sickness in first trimester of pregnant women at Pratama Mariana Clinic Medan, North Sumatra. Subject and Method: This was a quasi experiment study with pretest-posttest control group design conducted in Pratama Mariana Clinic, Medan from July to August 2018. A sample of 15 pregnant women. The dependent variable was emesis gravidarum. The independent variable was extract of ginger. The data were collected by observation and analyzed by wilcoxon test. Result: The extract of ginger is effective to reduce nausea and vomiting in first trimester pregnancy women after ginger extract was given (Mean= 1.93; SD= 0.26) was higher than before (Mean= 1.20; SD= 0.41), and it was statistically significant (p <0.001). Conclusion: The extract of ginger is effective to reduce nausea and vomiting in first trimester pregnancy women after ginger extract Keywords: Emesis gravidarum, extract of ginger Correspondence: Nurhidaya Fitria. Helvetia Institute of Health, Sumatera Utara. Email: [email protected]. Mobile: 082385317328. DOI: https://doi.org/10.26911/the7thicph.03.44


2020 ◽  
pp. 17-18
Author(s):  
Vijaya Gopulwad ◽  
Shirish Toshniwal ◽  
Pravin Jadav

Adnexal torsion is an unusual cause of acute abdominal pain during pregnancy. In this case we report a 22 –year old primigravida with 7 weeks gestational age presenting with partial torsion of the left ovarian cyst. She presented to emergency department with acute pain abdomen. She was diagnosed to have partial torsion of left ovarian cyst during pregnancy and oophoropexy was done. Her pregnancy is being followed up and she is currently at 9 weeks of gestation. Although the safety of antepartum surgical intervention has been accepted, abdominal surgery nevertheless carries some risks to a pregnant woman and unborn foetus, and so the choice of management necessitates a weighing of risks based on characterization of the adnexal mass and gestational age.


Author(s):  
Fifi Musfirowati ◽  
Adi Fahrudin ◽  
Irna Nursanti

Background: Pregnancy is a natural and physiological process. During the process, women will get some physiological, psychological, and social changes which cause discomfort. Techniques of yogic breathing are able to control respiration and mind. The mechanism of physical change is started by conscious relaxation which happens systematically in the body, which then leads into a deeper relaxation. The study intends to examine the effectiveness of yogic breathing to comfort level of pregnant mothers in first trimester.Methods: The study is a quantitative research with quasi experimental design. It employs pre-test and post-test without control group. The samples are 42 pregnant mothers who were selected by purposive sampling technique which is a type of non-probability sampling. The instrument for measuring comfort level was adopted from GCQ (General Comfort Questionnaire). For the analysis of statistical data, McNemar Test is used.Results: The univariate analysis shows proportional data of respondents’ comfort level frequency before the intervention of yogic breathing was given. Most of the respondents (64.3%) were in discomfort category level of their first trimester pregnancy. Meanwhile, the comfort level after getting yogic breathing intervention is increased. Most of the respondents (66.7%) are in comfort level toward their first trimester pregnancy. From bivariate analysis, the researchers obtained difference in the comfort level proportion of first trimester pregnant mothers before and after getting yogic breathing intervention, with p value 0.007.Conclusions: The study suggests that yogic breathing should be continued as an applied intervention in nursing service especially for pregnant mothers who get discomfort within first trimester.


Sign in / Sign up

Export Citation Format

Share Document