COMPARATIVE ANALYSIS OF MODERN METHODS OF ABORTION IN THE FIRST TRIMESTER OF PREGNANCY: MIFEPRISTONE AND MISOPROSTOL AND VACUUM ASPIRATION
Keywords:
termination of pregnancy, medical abortion, vacuum aspiration, safety, efficiencyAbstract
Over the years, numerous methods of termination of pregnancy have been used, which are characterized by varying degrees of invasiveness, duration, success and safety. Two procedures are most often used: surgical - dilation of the cervicalnia channels of fetal evacuation using vacuum aspiration and abortion, and medical-with Mifepristone and Misoprostol.
Termination of pregnancy in the second trimester is only 10.0% - 15.0% of all induced abortions, but this manipulation is associated with 2/3 of the complications of all abortions. For Bulgaria, there are no statistics of aborted pregnancies by gestational age. They are represented in the group of abortions for medical reasons. The National Center for Public Health and Analysis (NCPHA) provides information about abortions for medical reasons without specifying the duration of pregnancy.
The purpose of this study, in which a comparative analysis of 4 groups of patients was presented: 2 groups of 140 abortions for the first trimester with medical and surgical abortion and 2 groups of 70 abortions for the second trimester of pregnancy with medical abortion and dilation and evacuation. The analysis of post-abortion results makes it possible to assess the risks and benefits of using modern methods of abortion, measure the effectiveness and improve individual obstetric and gynecological practice. Medical abortion In the first and second trimester has a high efficiency (91.4 95.7% of completed abortion) and safety, requiring a time of expulsion of the uterine contents-on average 7 hours (I trimester) - 8 hours (second trimester).
The effectiveness of vacuum aspiration in the trimester is high-97.1% of completed abortion, incomplete abortion 0.7%. This is a fast (15 minutes) and safe procedure.
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