The management of failed second-trimester termination of pregnancy

The management of failed second-trimester termination of pregnancy
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DOI:
10.1016/j.contraception.2009.01.015
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发表时间:
2009-08-01
期刊:
影响因子:
2.9
通讯作者:
Basu, Debashis
Basu, Debashis
中科院分区:
医学3区
文献类型:
--
作者:
Basu, Jayati Kusari;Basu, Debashis

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Background: Management of failed medical second-trimester termination of pregnancy (TOP) is a challenge with best therapy not determined.Study Design: This was a cross-sectional study using retrospective record review of all women requesting medical TOP in the second trimester from January to June 2005. A comparative analysis was done to determine differences in demography, surgical methods and complications between two groups: (a) women who successfully aborted (first-admission group) and (b) women who failed to abort during their first admission (repeat-admission group).Results: Study sample included 567 subjects [523 (92%) in the first-admission group and 44 (8%) in the repeat-admission group]. There were no significant differences in gestational age (p=.99), parity (p=.24) and previous history of cesarean section (p=.38) between the two groups. All of them successfully aborted, but the women in the repeat-admission Group 4 (9%) had more surgical interventions than those in the first-admission Group 6 (2%) (p