Κατεύθυνση Διεθνής Ιατρική - Διαχείριση Κρίσεων ΥγείαςLibrary of the School of Health Sciences
Γεωργόπουλος Σωτήριος, Καθηγητής, Ιατρικής Σχολή, ΕΚΠΑ, Επιβλέπων
Καραβοκυρός Ιωάννης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κοντός Μιχαήλ, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Φαρμακευτική διακοπή πρώτου τριμήνου κυήσεως και συμμορφωσιμότητα ετερογενών πληθυσμών
First trimester medical abortion and compliance of heterogeneous population
Up to nowadays, induced abortion is performed via surgical evacuation of the uterine cavity; an alternative approach is the pharmaceutical induction with the combination of mifepristone and misoprostol.
Taken into account the already published data, it was shown that pharmaceuti-cal method of induced induction is safer as compared to surgical evacuation. During dilatation of the cervical canal and curettage of the endometrium, dam-age of the underlying tissues cannot be excluded. Asherman s syndrome repre-sents a complication provoked by the D & C. During pharmaceutical methodolo-gy, there is no need of anesthesia; this absence eliminates the risk produced by the medications used.
Pharmaceutical induction starts with mifepristone (per os) and in 36-48 h, miso-prostol (vaginally)
The majority of the women (> 97%) recruited in the study showed complete ex-cretion of all tissues with no need of further surgical evacuation. Failure of the procedure could be attributed to absence of compliance of these women as well as the probability of underlying, not clearly visualized abscess.
Main subject category:
Induced abortion, Mifepristone, Misoprostol, Compliance, Refugees
Διπλωματική Μαρίας Κουταβάκη.pdf
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