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• W3024234150 abstract "There are two methods of abortion : the medical and the surgical methods, each with its own specific benefits. Theoretically, the limit of medical abortion gestational age is 7 weeks of amenorrhea. However, since 2011, our university department provides the opportunity of a drug regimen until 9 weeks of amenorrhea. This paper describes the results of a retrospective study which covers 804 patients who were submitted to a medical abortion with gestational ages of 6 to 9 weeks. The purpose is to investigate the efficiency of the medical approach up to 9 weeks and to assess the drug dose required according to the term of pregnancy. Our work shows an efficiency of 95 % of medical abortion up to 9 weeks gestation, with no significant variation with the gestational age. However, maintaining this level of efficiency during the progress of pregnancy requires an increase of the administered doses of misoprostol. In addition, there is a significant increase in the use of analgesics. The medical abortion procedure remains effective until 9 weeks of gestation. This pharmacological approach reduces the risks induced, in the short and long term by the surgical procedure.Il existe deux méthodes d’interruption de grossesse : la méthode médicamenteuse et la méthode chirurgicale, présentant chacune leurs avantages et leurs inconvénients. Théoriquement, la limite d’âge gestationnel pour l’IVG médicamenteuse est de 7 semaines d’aménorrhée. Cependant, depuis 2011, notre service universitaire a évalué la possibilité d’étendre l’indication à 9 semaines d’aménorrhée (SA).Cet article décrit les résultats d’une étude rétrospective qui porte sur 804 patientes ayant subi une IVG médicamenteuse avec un âge gestationnel allant de 6 SA à 9 SA. Le but de cette étude est de démontrer l’efficacité de la méthode médicamenteuse d’IVG jusqu’à 9 SA et d’évaluer les dosages médicamenteux nécessaires en fonction du terme de la grossesse. L’efficacité de l’IVG médicamenteuse est de l’ordre de 95 % jusqu’à 9 SA sans variation significative en fonction de l’âge gestationnel. Toutefois, le maintien de ce taux d’efficacité, lors de l’avancement de la grossesse, requiert une augmentation des doses de misoprostol administrées. De plus, on note une majoration significative du recours aux antalgiques. La procédure médicamenteuse d’IVG demeure efficace jusqu’à 9 SA. Cette approche réduit les risques induits par la procédure chirurgicale à court mais aussi à long terme." @default.
• W3024234150 created "2020-05-21" @default.
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• W3024234150 date "2017-04-01" @default.
• W3024234150 modified "2023-10-10" @default.
• W3024234150 title "[Retrospective assessment of the influence of gestational age on the first trimester medical abortion efficiency]." @default.
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