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目的探讨未婚青少年中期引产方式。方法 78例未婚青少年体检后无引产、口服米非司酮及米索前列醇禁忌证,给予米非司酮片75 mg,空腹顿服,连服2 d,第3天早上6∶00(即口服米非司酮片36～48 h后)阴道后穹窿放置米索前列醇片400μg,观察效果。结果 75例成功阴道分娩,成功率为96.15%,失败3例;产后2 h内出血量>500 ml 2例,宫颈裂伤1例,无严重并发症发生。结论米非司酮配伍米索前列醇用于未婚青少年中期引产是安全可行的,值得推广。
Objective To explore the middle-term induction of labor among unmarried adolescents. Methods 78 unmarried adolescents did not have any induced abortion and oral contraindications to mifepristone and misoprostol. Mifepristone tablets were given 75 mg fasting Dayton service for 2 consecutive days and the third day morning was 6:00 (ie, Oral mifepristone tablets 36 ~ 48 h after vaginal fornix placed misoprostol 400μg, observe the effect. Results 75 cases of successful vaginal delivery, the success rate was 96.15%, failed in 3 cases; 2 h postpartum hemorrhage> 500 ml in 2 cases, 1 case of cervical laceration, no serious complications. Conclusions Mifepristone and misoprostol are safe and feasible for middle-term labor induction of unmarried adolescents and are worth promoting.