Clinical observation on termination methods of uterus didelphys early pregnancy

Abstract

Objective To observe and summary the different clinical termination methods for uterus didelphys early pregnancy,analyze its advantages and disadvantages,and to further improve the quality of quality of clinical medical care.Methods From January 2009 to January 2013,11 cases undergoing different uterus didelphys early pregnancy termination methods were retrospectively analyzed in our hospital,to observe and analyze the clinical outcomes and complications.Results 5 cases received curettage following oral mifepristone combined with misoprostol medicine flow,5 cases were successful,no significant complications found; 4 cases chose abortion alone,1 case success,2 cases of suction drain,and 1 case of uterus perforation; 2 cases which chose mifepristone combined with misoprostol medicine flow operation,were all successful,but all had vaginal heavy bleeding complications.Conclusion Choosing curettage following oral mifepristone combined misoprostol medicine flow for early pregnancy of uterus didelphys can improve the success rate,reduce the complications,which is worthy of clinical promotion in basic-level hospitals. Key words: Uterus didelphys; Early pregnancy; Misoprostol; Mifepristone; Medical abortion; Uterine curettage