Eficacia del misoprostol en pacientes con diagnóstico de aborto atendidas en el Area de Emergencia del Hospital Teodoro Maldonado Carbo en el período de agosto del 2014 a enero del 2015
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Objetivo: evaluar la eficacia del misoprostol como tratamiento farmacológico en abortos, siendo esta una alternativa frente al legrado instrumental. Evaluando los beneficios propuestos por este tratamiento.
Materiales y métodos se analiza 361 pacientes femeninas, de las cuales 266 fueron sometidas al tratamiento farmacológico con misoprostol; las cuales acudieron al área de emergencia de ginecología del hospital del IESS Dr. Teodoro Maldonado Carbo en el periodo de agosto del 2014 a enero del 2015. A las cuales se les oferto tratamiento médico con misoprostol por vía oral o tratamiento quirúrgico en caso necesario.
Resultados: de los 361 pacientes recolectadas, 95 (26%) pacientes fueron sometidas directamente a legrado instrumental, sin exposición al misoprostol. Los 266 (74%) pacientes recibieron tratamiento médico con misoprostol; de las cuales 206 (78%) utilizo la primera dosis, 57 llegaron a la segunda dosis (21%), y solo el 3(1%) llego a la tercera dosis. De este total un número de 50 (18,80%) pacientes llegaron a legrado instrumental de las cuales tienen como antecedentes: el 54% tiene una dosis de misoprostol administrada, el 40% con dosis de misoprostol administrada, y el 6% con tres dosis de misoprostol administrada; todos previos al legrado se realizó ecografía en donde se demostraban restos en cavidad uterina.
Conclusión: el porcentaje de falla del tratamiento con misoprostol es baja (18,7%), se recomienda su uso como alternativa eficaz al tratamiento de abortos.
ABSTRACT Objective: To evaluate the efficacy of misoprostol as abortion drug treatment, this being an alternative to instrumental curettage. Assessing the benefits offered by this treatment. Materials and methods: 361 female patients, of which 266 were subjected to pharmacological treatment with misoprostol is analyzed; which they attended the emergency area of gynecology in the hospital Dr Teodoro Maldonado Carbo in the period August 2014 to January 2015.A which are Euros offered medical treatment with oral misoprostol or surgical treatment if necessary. Results: Of the 361 patients collected, 95 (26%) patients were submitted directly to sharp curettage without exposure to misoprostol. 266 (74%) patients received medical treatment with misoprostol; of which 206 (78%) I use the first dose, 57 reached the second dose (21%), and only 3 (1%) reached the third dose.Of this total number of 50 (18.80%) patients reached instrumental curettage of which have as their background: 54% have administered a dose of misoprostol, 40% with misoprostol administered dose, and 6% with three administered doses of misoprostol; all ultrasound prior to curettage was performed where remains were demonstrated in uterine cavity Conclusion: The treatment failure rate with misoprostol is low (18.7%), their use is recommended as an effective alternative treatment for abortions.
ABSTRACT Objective: To evaluate the efficacy of misoprostol as abortion drug treatment, this being an alternative to instrumental curettage. Assessing the benefits offered by this treatment. Materials and methods: 361 female patients, of which 266 were subjected to pharmacological treatment with misoprostol is analyzed; which they attended the emergency area of gynecology in the hospital Dr Teodoro Maldonado Carbo in the period August 2014 to January 2015.A which are Euros offered medical treatment with oral misoprostol or surgical treatment if necessary. Results: Of the 361 patients collected, 95 (26%) patients were submitted directly to sharp curettage without exposure to misoprostol. 266 (74%) patients received medical treatment with misoprostol; of which 206 (78%) I use the first dose, 57 reached the second dose (21%), and only 3 (1%) reached the third dose.Of this total number of 50 (18.80%) patients reached instrumental curettage of which have as their background: 54% have administered a dose of misoprostol, 40% with misoprostol administered dose, and 6% with three administered doses of misoprostol; all ultrasound prior to curettage was performed where remains were demonstrated in uterine cavity Conclusion: The treatment failure rate with misoprostol is low (18.7%), their use is recommended as an effective alternative treatment for abortions.
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ABORTO, MISOPROSTOL, URGENCIAS MEDICAS, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR, SERVICIO DE URGENCIA EN HOSPITAL