Manejo terapéutico del aborto incompleto en atención primaria de salud

Abstract

Incomplete abortion is considered one of the most common obstetric emergencies that occur not only in our country but throughout the world and although the cost of treatment is low, it becomes an important issue for health institutions and pregnant women. The aim of the research was to establish the therapeutic management of incomplete abortion in Primary Health Care. A study was conducted to review scientific information obtained in databases of Pubmed, Scielo, Google academic. In the prospective cohort study, 44 women (group A) were given 600 mg of oral mifepristone and 60 women (group B) 200 mg of mifepristone, followed after 48 hours by oral misoprostol. Total evacuation stopped bleeding after 10 days was achieved in 70.5% of group A and 66.7% of group B. Of group A, 54.5% had heavy bleeding and bleeding stopped on average at 8 days. In a study of women who underwent incomplete abortion, 1010 were treated with misoprostol and 899 surgically with manual endouterine aspiration, showing an efficacy of Misoprostol of 89.15% and AMEU of 91.5%. In conclusion, therapeutic management will depend on the gestational age and hemodynamically stable patient, being pharmacological management a feasible method, due to its low cost and low risk of complications. However, its effectiveness is less than surgical methods such as instrumental curettage and AMEU.