EFICACIA DEL USO DE MISOPROSTOL EN LA EVACUACIÓN UTERINA EN MUJERES EMBARAZADAS CON PERDIDA GESTACIONAL TEMPRANA EN EL HOSPITAL GENERAL DR. NICOLÁS SAN JUAN EN EL AÑO 2011.

Abstract

Drug induced abortion induced with mifepristone or misoprostol is a safe, effective y acceptable option for termination of pregnancy (RCOG 2004, OMS 2003, Winikoff 2008, Von Hertzen 2003). Material y Method. Descriptive, prospective, observational, longitudinal, study of 100 women which entered the service of emergency with diagnosis of early gestational loss and correlation with the retrieved histopathological result. Patients who came to the emergency room toco surgery in diagnosis confirmed by ultrasound of early gestational loss, without contraindication for use of misoprostol and with informed consent. Results. The descriptive analysis of the variables was carried out found that 49% other patients archived complete uterine evacuation As for the factors that influence the affectiveness of the drug showed that the average mother in the success group age stood at 22.98and the failure at 25.75. For one (p de 0.035).RR= 1.7 (IC 95% 1.05-2.8) P 0.02. Likewise the gestational age stood at an average of 7.59 weeks for cases reported as success and 8.44 for those who were reported as failures RR= 1.8 (IC 95% 1.03-3.2) P=0.031.3. Within the patients is that full evacuation was achived 93% of these expelled with the first dose and the average time of expulsion was 6.01hours. Conclusions. Misoprostol is an effective medication for uterine evacuation in early gestational loss, already widely used in developed countries.