人工流产和药物流产对再次妊娠分娩并发症影响的对照研究

目的：探讨初次怀孕妇女在人工流产与药物流产后对再次妊娠分娩的影响。方法：采用回顾性研究方法对318例有单纯人工流产史与359例有药物流产、无清宫史的初孕妇女在再次妊娠分娩并发症的发生率方面进行比较。结果：妊娠期并发症先兆流产的发生率人工流产组高于药物流产组，两组比较有显著性差异（P〈0．05）；前置胎盘、胎盘早剥、妊娠高血压综合征和过期妊娠的发生率两组比较无显著性差异（P〉0．05）。分娩期并发症人工流产组产后出血的发生率高于药物流产组，两组比较有显著性差异（P〈0．05）；胎盘残留、胎盘粘连、胎膜早破和胎儿窘迫的发生率两组比较无显著性差异（P〉0．05）。两组妊娠结局比较无显著性差异（P〉0．05）。结论：就先兆流产、产后出血两点从远期安全性来看，药物流产优于人工流产。流产作为终止非意愿妊娠及病理妊娠的一种手段，对女性身体伤害常常是远期的。为了避免非意愿妊娠，减少流产，育龄妇女一是要坚持避孕，二是要选择适合自己使用的和可靠的避孕方法，并珍视自己的第一次怀孕。

Effects of induced abortion and drug abortion on childbirth complications

Objectives： To compare the effects of induced abortion and drug abortion on childbirth complications. Method： 318 patients were conducted a retrospective study with induced abortion history and 359 patients with drug abortion history. The incidence rates of complications during their next pregnancy were compared. Results： The induced abortion group showed sig nificantly higher threatened abortion incidence rate compared with the drug abortion group （ P 〈 0.05 ）. The incidence rates of placenta previa, placental abruption, gestational hypertension syndrome, overdue pregnancy were not significantly different be tween the two groups （ P 〉 0.05 ）. The induced abortion group showed significantly higher incidence rate of postpartum hemor rhage than the drug abortion group （ P 〈 0.05 ）. The incidence rates of placenta adhesion, placenta residue, premature rupture of membrane, fetal distress were not significantly different between the two groups （ P 〉 0.05 ）. Pregnancy outcomes between the two groups were not significantly different （ P 〉 0.05 ）. Discussion： The lower incidence rates of threatened abortion andpostpartum hemorrhage suggest that drug abortion is better than induced abortion. Abortion, the termination of unwanted preg nancy, does long - term harm to women＇ s health. In order to avoid unwanted pregnancy and reduce abortion, women of child bearing age are recommended to use contraception, and choose suitable and reliable abortion methods if necessary. Women should value their first pregnancy.