摘要
目的探讨流产后关爱(PAC)对早期人工流产(手术或药物流产)后再次妊娠相关并发症的影响。方法选取2022年1—12月于成都中医药大学附属医院就诊的行早期人工流产后再次获得妊娠的患者300例为研究对象,根据再次妊娠间隔时间的不同分为近期妊娠组(≤6个月,n=94)和远期妊娠组(>6个月,n=206),观察并比较两组妊娠相关并发症及不同流产方式后相关并发症的发生情况。结果两组早期妊娠自然流产、稽留流产、先兆流产及孕中晚期低体重儿、前置胎盘、胎盘黏连、产后出血的总发生率比较,差异均无统计学意义(P>0.05)。手术流产及药物流产患者术后宫腔黏连、盆腔炎的发生率及经量恢复正常比率比较,差异均无统计学意义(P>0.05);术后阴道流血时间比较,差异无统计学意义(P>0.05)。结论对早期人工流产的患者进行规范PAC管理,即使流产后短期内再次妊娠,并不增加妊娠相关并发症的发生率,为早期人工流产后女性选择再次妊娠的时机提供依据。同时手术流产和药物流产后并发症发生率比较,差异无统计学意义,表明PAC对流产后女性生殖健康的保护具有积极意义。
Objective To investigate the effect of post-abortion care(PAC)on the complications related to subsequent pregnancy after early induced abortion(surgical or medical abortion).Methods A total of 300 patients who were pregnant again after PAC in early induced abortion in the Hospital of Chengdu University of Traditional Chinese Medicine from January to December 2022 were selected as the research objects.According to the different intervals of re-pregnancy,they were divided into the short-term pregnancy group(≤6 months,n=94)and the long-term pregnancy group(>6 months,n=206).The incidence of pregnancy-related complications and post-abortion complications after different methods for induced abortion were observed and compared between the two groups.Results There was no significant difference between the two groups in the incidence of spontaneous abortion,missed abortion and threatened abortion in early pregnancy,and low birth weight infants,placenta previa and placenta adhesion in the second and third trimester of pregnancy,and postpartum hemorrhage(P>0.05).There was no significant difference in the incidence of intrauterine adhesion,pelvic inflammatory disease,the proportion of cases with normal menstrual volume,and the duration of postoperative vaginal bleeding between patients with surgical abortion and medical abortion(P>0.05).Conclusion Standardized PAC for patients with early induced abortion does not increase the incidence of pregnancy-related complications,even if they get pregnant again within a short period after abortion,which provides a basis for women to choose the time of re-pregnancy after early induced abortion.There is no significant difference in postoperative complications between surgical abortion and medical abortion after PAC management,indicating that PAC has positive significance in protecting the reproductive health of women after abortion.
作者
何玲
刘佳敏
刘艺
He Ling;Liu Jiamin;Liu Yi(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610032,China)
出处
《成都医学院学报》
CAS
2023年第6期752-755,共4页
Journal of Chengdu Medical College
关键词
流产后关爱服务
早期人工流产
再次妊娠
妊娠并发症
流产后并发症
Post-abortion care service
Early induced abortion
Re-pregnancy
Pregnancy complication
Postabortion complication
