지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 220 - 226 (7page)
이용수
초록· 키워드
오류제보하기
ObjectiveThis study was conducted to determine the effectiveness and safety of medical treatment with sublingual misoprostol(MS) in the 1st trimester miscarriage under the approval by Health Insurance Review and Assessment Service (HIRA)for off-label usage by the single medical center in Korea. MethodsA retrospective cohort study was performed in one institution between April 2013 and June 2016. Ninety-onepatients diagnosed with miscarriage before 14 weeks of gestation and wanted to try medical treatment wereincluded. A detailed ultrasound scan was performed to confirm the diagnosis. Patients took 600 microgram (mcg)of MS sublingually at initial dose, and repeated the same dose 4–6 hours apart. Successful medical abortion wasdefined as spontaneous expulsion of gestational products (including gestational sac, embryo, fetus, and placenta). If gestational products were not expelled, surgical evacuation was performed at least 24 hours later from the initialdose. Information about side effects was obtained by medical records. ResultsAbout two-thirds of patients had a successful outcome. The median interval time from pill to expulsion was 18 hoursin the successful medical treatment group. There was no serious systemic side effect or massive vaginal bleeding. Presence or absence of vaginal spotting before diagnosis of miscarriage, uterine leiomyomas, subchorionic hematoma,or distorted shape of gestational sac on ultrasound scan were not statistically different between the two groups. ConclusionMedical treatment with sublingual MS can be a properoption for the 1st trimester miscarriage, especially for thepatient who want to avoid surgical procedure. We canreduce the unnecessary sedation or surgical interventionin the patients with the 1st trimester miscarriage.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Hurt KJ / 2011 / The Johns Hopkins manual of gynecology and obstetrics. 4th ed / Lippincott Williams & Wilkins
National Collaborating Centre for Women's and Children's Health (GB) / 2012 / Ectopic pregnancy and miscarriage: diagnosis and initial management in early pregnancy of ectopic pregnancy and miscarriage
Francis O / 1959 / An analysis of 1150 cases of abortions from the Government R.S.R.M. Lying-in Hospital, Madras / J Obstet Gynaecol India 10:62~70
Cunningham FG / 2014 / Williams obstetrics. 24th ed / McGraw-Hill
Oliver A / 2014 / Diagnosis and management of miscarriage / Practitioner 258:25~28
National Collaborating Centre for Women's and Children's Health (GB) / 2012 / Ectopic pregnancy and miscarriage: diagnosis and initial management in early pregnancy of ectopic pregnancy and miscarriage
Francis O / 1959 / An analysis of 1150 cases of abortions from the Government R.S.R.M. Lying-in Hospital, Madras / J Obstet Gynaecol India 10:62~70
Cunningham FG / 2014 / Williams obstetrics. 24th ed / McGraw-Hill
Oliver A / 2014 / Diagnosis and management of miscarriage / Practitioner 258:25~28
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Prevalence of vaginal microorganisms among pregnant women according to trimester and association with preterm birth
Obstetrics & Gynecology Science
2018 .01
-
Creating empathetic doctors through art: art-based teaching as a tool for understanding the patient experience, such as miscarriage
Korean Journal of Medical Education
2021 .12
-
습관성 유산의 한의학적 치료에 대한 연구 - 고문헌의 현대적 이해와 활용 -
대한한의학원전학회지
2024 .08
-
Serum β-hCG concentration is a predictive factor for successful early medical abortion with vaginal misoprostol within 24 hours
Obstetrics & Gynecology Science
2017 .01
-
2014 First-trimester ultrasound forum from the Korean Society of Ultrasound in Obstetrics and Gynecology
Obstetrics & Gynecology Science
2015 .01
-
Association between gestational age at delivery and lymphocyte-monocyte ratio in the routine second trimester complete blood cell count
Journal of Yeungnam Medical Science
2021 .01
-
Association of Parental Occupation with the Risk of Miscarriage, Preterm Birth, and Low Birth Weight: a South Korean Nationwide Cohort Study
대한직업환경의학회 학술대회 논문집
2022 .05
-
Inherited thrombophilia profile in patients with recurrent miscarriages: Experience from a tertiary care center in north India
Obstetrics & Gynecology Science
2015 .01
-
Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery?
Obstetrics & Gynecology Science
2020 .01
-
Optimal Surgical Approach to Acute Appendicitis in Each Trimester of Pregnancy
대한외과학회 학술대회 초록집
2021 .11
-
Primary Hyperparathyroidism in Pregnancy: Insights From a Case of a 28-Year-Old Woman With Miscarriages and Hyperemesis Gravidarum
Annals of Laboratory Medicine
2021 .01
-
Establishment of Trimester-Specific Reference Intervals for Thyroid Hormones in Korean Pregnant Women
Annals of Laboratory Medicine
2015 .01
-
Characteristics of cosmetic medical tourism in Korea
대한미용의학회지
2017 .06
-
보건의료 빅데이터를 활용한 소아 감기 치료의 동향 조사
대한한방소아과학회지
2022 .05
-
임신 중 절박유산과 전치태반으로 두 차례 한방 입원치료를 받은 임산부 환자 증례보고
대한한의학회지
2020 .09
-
Delayed diagnosis of gestational diabetes mellitus and perinatal outcomes in women with large for gestational age fetuses during the third trimester
Obstetrics & Gynecology Science
2020 .01
-
Neonatal Outcomes in Term Births according to Gestational Weeks
Perinatology
2020 .01
-
우리나라 비대면 진료: 필수 조건에 대한 제안
대한내과학회지
2023 .02
-
Role of ultrasound in the evaluation of first-trimester pregnancies in the acute setting
ULTRASONOGRAPHY
2020 .01
-
Impact of sperm DNA fragmentation on clinical in vitro fertilization outcomes
Clinical and experimental reproductive medicine : CERM
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0