Medical termination of pregnancy by mifepristone and misoprostol – evaluation of succes rate, complications and satisfaction of patients

Česká verzia

Authors: K. Frank; Romana Gerychová; Petr Janků ; M. Huser; P. Ventruba
Authors place of work: Gynekologicko-porodnická klinika LF MU a FN, Brno přednosta prof. MUDr. P. Ventruba, DrSc., MBA
Published in the journal: Ceska Gynekol 2015; 80(6): 451-455

Summary

Objective:
The purpose of this study was to evaluate the success rate and complications of medical termination of pregnancy up to 49 days of amenorrhea and present the outcome of our phone questionaire of satisfaction of patients.

Design:
Retrospective analysis.

Setting:
Department of Obstetrics and Gynecology Masaryk University and University Hospital Brno.

Methods:
The analysis of 111 patients, who underwent medical termination of pregnancy at the Department of Obstetrics and Gynecology Masaryk University and University Hospital Brno from 1. 6. 2014 to 30. 6. 2015 using 600 mg of mifepristone (Mifegyne) and 400 µg of misoprostol (Mispregnol). In our set of patients we monitored subjective perception of medical termination of pregnancy (pain, nausea, vomiting, satisfaction with this method) and objective process (hospitalisation, surgical intervention). The view of patients was found out by the phone questionaire

Results:
Complete abortion without a surgical intervention underwent 103 patients. Nausea, pelvic pain, and intensity of bleeding were evaluated as suitable. Only 1 patient (0.9%) was hospitalised for nausea and 1 patient (0.9%) was hospitalised in case of need for an emergency curretage and transfusions. Some kind of contraception after the medical termination of pregnancy started using 98.0% of women. The satisfaction rate of this method was high – 101 patients declared themselves satisfied – 66.7% very satisfied, 24.3% rather satisfied.

Conclusion:
Medical termination of pregnancy has good efficiency, we consider it safe with minimum side-effects and is well evaluated by patients.

Keywords:
medical termination of pregnancy, mifepristone, misoprostol

Zdroje

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