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Medical Management Of The Complications Of Early Pregnancy With Misoprostol

Abstract



OBJECTIVE: The study’s goal was to ascertain if misoprostol is beneficial for people who have early pregnancy complications. And to prevent these individuals from undergoing surgical evacuation.
METHODOLOGY: Between 2015 and 2017, an experimental investigation was carried out at the Mardan
Medical Complex Hospital in Mardan at the Department of Obstetrics and Gynecology, Unit A. For misoprostol
therapy, 200 women with early pregnancy problems were included. Patients with early pregnancy problems who were hemodynamically stable and had a gestational age of fewer than 15 weeks met the inclusion criteria. Patients having a history of ectopic pregnancy, gestational trophoblastic illness, hemodynamic instability, uterine rupture, hypersensitivity to prostaglandin, and hemoglobin levels below 9 g were excluded. The ability to successfully resolve miscarriages without the need for surgery was the primary outcome measure. Incidence of discomfort, vaginal bleeding, infection, pyrexia, and adverse gastrointestinal symptoms were secondary outcomes. The research included 200 women in total. They were primigravida to grand multigravida, ranging in age from 16 to 45. Thirty (15%) had an embryonic pregnancy, 88(44%) had an incomplete abortion, and 82 (41%) had an early fetal death. When misoprostol was the only medication used for therapy, 140 (or 70%) women entirely expelled the conceptual products; nevertheless, 60 (30%) patients needed surgery since their conceptual products had not been fully expelled and they were bleeding excessively. The average time between induction and expulsion was 16 hours. The most common adverse effects reported were diarrhea, vomiting, pyrexia, discomfort, and nausea. In 14 individuals, more than one side event was reported. For individuals with early pregnancy difficulties, misoprostol is an appropriate and effective treatment for early pregnancy loss. It may be kept at room temperature and is inexpensive and heat stable.
RESULTS: The study concerned a diverse institution of women, starting from primigravida to grand multigravida, and spanning a while sixteen to 45. The distribution of pregnancy headaches covered 15% with embryonic pregnancy, 44% with incomplete abortion, and 41% with early fetal demise. Out of the 2 hundred girls, one hundred forty (70%) effectively expelled the conceptual products solely through misoprostol therapy. However, 30% of sufferers required surgical operation because of incomplete expulsion and excessive bleeding. The common time between misoprostol induction and complete expulsion changed into reported as sixteen hours.The look at additionally referred to not unusual adverse consequences, such as diarrhea, vomiting, pyrexia, pain, and nausea. In some instances, a couple of side impact became reported, affecting 14 people.
CONCLUSION: The observe contributes treasured insights into the scientific management of early pregnancy
complications using misoprostol. It emphasizes the effectiveness of misoprostol in resolving miscarriages without the need for surgery in a significant proportion of instances. The documented negative consequences, while present, should be weighed towards the blessings of averting surgical processes.

Nuzhat Amin

Department of Gynae A, Mardan Medical Complex Hospital, Mardan, Pakistan

Himasa Gull

Department of Gynae A, Mardan Medical Complex Hospital, Mardan, Pakistan

Dr. Nuzhat Amin

Department of Gynaecololgy, Bacah Khan Medical College, Mardan, Pakistan

Email: k.shahbaz50@yahoo.com

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