【摘要】 对药物流产 (药流 )后再次妊娠的孕妇观察其妊娠期、分娩期并发症的发生情况及新生儿健康状况。并与有手术流产 (术流 )史的孕妇进行比较 ,探讨药流的安全性。方法 :同期内选择年龄 2 3～ 3 5岁的药流 (2 1 2例 )或术流 (2 0 1例 )后再次妊娠的健康妇女 ,进行前瞻性研究 ,观察其妊娠期并发症 (妊高征、自然流产、前置胎盘、胎盘早剥、过期妊娠 )与分娩期并发症 (产后出血、胎盘粘连、胎盘残留、胎膜不全、胎膜早破、胎儿窘迫等 )的发生情况以及新生儿的健康状况。结果 :妊娠期并发症 ,术流组 (2 0 .9% )明显高于药流组(1 2 .3 % ) ,差异有显著意义 (P<0 .0 5) ,其中先兆流产发生率术流组 (1 3 .4 % )明显高于药流组 (3 .8% ) ,差异有非常显著意义 (P=0 .0 0 0 ) ;分娩期并发症术流组 (1 7.4 % )与药流组(1 9.3 % )无显著性差异 ;妊娠结局术流组 (3 .5% )与药流组 (3 .8% )无显著性差异。认为药流对再次妊娠分娩与术流一样都是安全的 ,并且药流再次妊娠时妊娠期并发症明显低于术流。更多还原

【Abstract】 Objective: To compare the effect of medical abortion with surgical abortion on the safety of subsequent pregnancy till the dilivery of the baby. Methods: 413 pregnant women in the age of 23～35 years who had had medical abortion or surgical abortion were selected. Complications in pregnancy and in parturition and new born babies were compared. Results: In pregnant period: the complications in medical abortion group (12.2%) were lower than in surgical abortion group (20.9%). The difference was statistically significant. In parturient period there was no significant difference. Conclusion:The two methods of induced abortions were safe for pregnant women and babies in the subsequent pregnancy. The complications in pregnancy were lower in the medical abortion group than in the surgical abortion group.更多还原