Elective Abortion: Complications Seen in a Free-Standing Clinic
Elective Abortion: Complications Seen in a Free-Standing Clinic
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选择性堕胎：独立诊所中出现的并发症
作者：
G. Wulff;S. Freiman
据报告，圣路易斯生殖健康服务是一家独立诊所，在31个月期间为16,410名孕妇进行了选择性妊娠早期堕胎。并发症发生率为1.54%。其中最常见的是不完全排出，大量的产后出血和子宫穿孔。对于毫无疑问穿孔的患者，腹腔镜的使用对于确定穿孔的确切性质，避免不必要的剖腹手术，以及在手术不完整的情况下对伴随的吸引引流给予腹腔内视觉指导是非常有价值的。其他并发症的方面也进行了讨论。总的来说，研究结果支持了这样一种观点，即即使在妊娠的前三个月，越早进行抽吸流产，导致重大并发症的可能性就越小。可以在独立诊所进行妊娠早期流产，并发症发生率低得令人满意。
Experience is reported with the elective first trimester abortion of 16,410 pregnancies during a 31-month period by Reproductive Health Services of St. Louis, a free-standing clinic. Incidence of complications was 1.54%. The most common of these were incomplete evacuation, excessive postabortal bleeding, and uterine perforation. In patients with unquestioned perforation, the use of laparoscopy has been very valuable in ascertaining the exact nature of the perforation, in avoiding unnecessary laparotomy, and in giving intraabdominal visual guidance to concomitant suction evacuation in cases of an incomplete procedure. Aspects of the other complications are also discussed. In general, the findings support the view that even in the first trimester, the earlier in pregnancy that suction abortion is performed, the less likely it is to result in major complications. It is possible to perform, first trimester abortions in a free-standing clinic with a satisfactorily low complication rate.