药物与人工流产术对妇女再次妊娠结局的影响

Comparison of the Effects of Medical Abortion and Induced Abortion on Women's Re-pregnancy Outcomes

目的对比分析药物流产和人工流产术对妇女再次妊娠结局的影响。方法选取我院收治的300例具有流产史的初产妇进行研究,以药物流产者155例为药流组,以人工流产术流产者145例为人流组,对比两组孕产妇的再次妊娠情况。结果两组孕产妇妊娠期并发症对比,胎膜早破、胎盘早剥、前置胎盘、妊娠高血压综合征等发生率均差异无统计学意义(P> 0.05),但人流组患者先兆流产的发生率则明显高于药流组(P <0.05);两组分娩期并发症情况对比,人流组患者胎儿窘迫发生率差异无统计学意义(P> 0.05),但组间在胎盘残留、胎盘粘连、胎盘置入及产后出血发生率方面对比差异有统计学意义(P<0.05)。结论相对于药物流产而言,人工流产对再次妊娠结局的影响更大,对于具有人流史的产妇需予以更多关注,做好产前检查,并严密观察产程进展,尽可能减少不良妊娠结局发生。

Objective To compare the effects of medical abortion and artificial abortion on women's re-pregnancy outcomes.Methods 300 cases of primipara with history of abortion in our hospital were studied.155 cases of drug abortion were named as medical abortion group and 145 cases of artificial abortion were named as induced abortion group.The pregnancy status of pregnant women was compared.Results There was no significant difference in the incidence of pregnancy complications between the two groups,such as premature rupture of membranes,placental abruption,placenta previa and pregnancy-induced hypertension syndrome(P>0.05).However,the incidence of threatened abortion in the induced abortion group was significantly higher than that in the drug abortion group(P<0.05).There was no significant difference in the incidence of fetal distress between the two groups(P>0.05).However,there were significant differences in the incidence of residual placenta,placental adhesion,placenta implantation and postpartum hemorrhage between the two groups(P<0.05).Conclusion Compared with medical abortion,induced abortion has a greater impact on the outcome of re-pregnancy.For women with a history of abortion,more attention should be paid to the prenatal examination,and the progress of labor should be closely observed to minimize adverse pregnancy outcomes.