HIỆU QUẢ VÀ TÍNH AN TOÀN CỦA PHÁ THAI NỘI Ở PHỤ NỮ CÓ SẸO MỔ LẤY THAI TẠI BỆNH VIỆN QUÂN Y 7A

Abstract

Objective: to identify effective and safe methods of medical abortion (mifepristone combined with misoprostol) in women with cesarean section scars in 7A Military Hospital. Research subjects and methods: Follow- up case report of 78 cases of women with who had uterine scar in 7A Military Hospital. All of those had pregnancy in uterus less than 49 days. Medical abortion using mifepristone 200 mg combined with misoprostol 800 mcg after a women had enough conditions for this method. Results: Our study of 78 cases with one previous cesarian section had uterine pregnancy less than 49 days of amenorrhea. They used Mifepristone and Misoprostol for interruption of pregnancy that were allowed hospital treatment regimen. The successs was defined as uterus cavity containing little fluid (less than 10 mm thickness) by sonography in two weeks. The succees rate is 100% (78/78)   The most common adverse effects in the study were diarrhea in 39/78 cases (50%). Nausea in 35/78 cases (44.9%), vomiting in 23/78 cases (29.5%). Some other conditions such as fever, chills were 4/78 (5.1%) and feeling very tired was 1 case (1.3%). Conclusion: regimen using mifepristone 200 mg combined with misoprostol 800 mcg showed high results and was safe (no complications during medical abortion).