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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Unsupervised medical abortion with misoprostol among adolescent—what is the prospect of demedicalise abortion in sub-Saharan Africa?
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Unsupervised medical abortion with misoprostol among adolescent—what is the prospect of demedicalise abortion in sub-Saharan Africa?

机译：青少年中使用米索前列醇进行无监督的医学流产-在撒哈拉以南非洲进行非医学流产的前景如何？

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Objective: To find out clinical presentation and outcome of unsupervised use of misoprostol as abortifacent among adolescents presenting with abortion complications. Methods: Case series of thirty one adolescents that presented with abortion complications following unsupervised use of misoprostol. Results: Over a period of 3 years, 31 adolescents were seen, with median age of 17 years. Twenty nine (93.5%) were unmarried and 22 (71%) were in secondary school. Pregnancy duration was 3months and above in 23 (74.2%) of the patients. The cumulative dose of misoprostol tablet ingested was 2 (400 μg) in 17 (54.8%) of the patients. Twenty three (74.2%) patients presented with incomplete abortion with mild sepsis while the remaining 8 (25.8%) patients were admitted and managed with incomplete abortion with severe sepsis. Treatments offered were manual vacuum aspiration in 23 (74.2%) patients, evacuation of retained product of conception under anaesthesia in 7 (22.6%) patients and 1 (3.2%) patient had laparotomy with uterine repair following inadvertent uterine perforation complicating curettage for incomplete abortion. Complications encountered were anaemia 67.7%, uterine perforation 3.2%, blood transfusion 9.7% and diarrhoea in 8 (25.8%) patients. Conclusion: Demedicalise abortion with misoprostol due to improper dosing protocol may be associated with incomplete abortion and its sequelae in an uninformed adolescent population. Establishment of adolescent friendly medical centre that offers post abortion care will go a long way in alleviating this problem.
机译：目的：了解存在流产并发症的青少年中无监督使用米索前列醇作为流产剂的临床表现和结果。方法：31例青少年在无监督使用米索前列醇后出现流产并发症的病例系列。结果：在3年的时间里，观察到31名青少年，中位年龄为17岁。二十九（93.5％）未婚，22（71％）在中学。 23名（74.2％）患者的妊娠期为3个月及以上。 17名（54.8％）的患者摄入米索前列醇片剂的累积剂量为2（400μg）。 23例（74.2％）患者因轻度败血症而未完全流产，而其余8例（25.8％）患者因重度脓毒症不完全流产而入院并接受治疗。所提供的治疗方法有23（74.2％）例行人工负压吸引术，7（22.6％）例患者在麻醉下排空受孕保留的产品和1例（3.2％）的患者因无意的子宫穿孔使刮除术加重了刮宫术以进行不完全流产而进行了子宫修补术。 8位（25.8％）患者发生的并发症为贫血67.7％，子宫穿孔3.2％，输血9.7％和腹泻。结论：在未知情的青少年人群中，由于剂量方案不当而导致的米索前列醇流产可能与不完全流产及其后遗症有关。建立提供堕胎后护理的青少年友好医疗中心将大大减轻这一问题。

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