Abstract

MARTIN SIERRA, Mariela et al. Misoprostol as a method of pregnancy interruption, a clinical and economical alternative. AMC [online]. 2012, vol.16, n.2, pp. 182-189. ISSN 1025-0255.

Background: abortion is the expulsion of a human fetus when it is not yet able to survive outside the womb.    Objective: to compare clinical and economic effectiveness of misoprostol as a method of termination of pregnancy with the traditional method.      Method: a descriptive, cross-sectional study was conducted at the University Hospital Manuel Piti Fajardo, Florida Camagüey, from January to December 2010. The universe was constituted by 600 patients who came to family planning consultation; the sample was made up 450 pregnants which met the inclusion criteria. Data were collected and processed in computerized form, as statistical measures, numbers and percents. Results: this method was considered effective because comprehensive abortion was achieved without requiring surgical procedure. Comprehensive abortion occurred at 409 patients, 41 failures were presented in the first cycle, 19 patients were applied a second dose and the 22 remaining surgical method was applied to them, the method was more effective with the first cycle in 390 patients. With the implementation of non-surgical method, there was a saving in the budget of $16793.54. Conclusions: the most common side effects after the use of this method were chills, nausea, and pelvic pain, the largest number of patients achieved comprehensive abortion with the use of vaginal misoprostol in the first cycle where the number of failures was unrepresentative. With the implementation of the pharmacological method, there was a saving in the budget compared to surgical abortion.

Keywords : MISOPROSTOL; ABORTION; CROSSSECTIONAL STUDIES; TREATMENT OUTCOME; YOUNG ADULT.

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