Open AccessAlternative approach to evaluation of efficiency of medicamental abortion in early stages
Author(s) -
G.B. Dikke Dikke,
М. К. Астапова,
Z.Kh. Uzdenova,
Е. Ю. Щербатых
Publication year - 2019
Publication title -
medicinskij alfavit
Language(s) - English
Resource type - Journals
eISSN - 2949-2807
pISSN - 2078-5631
DOI - 10.33667/2078-5631-2019-3-25(400)-24-28
Subject(s) - overdiagnosis , abortion , medicine , obstetrics , pregnancy , medical abortion , ultrasonography , missed abortion , pregnancy test , gynecology , surgery , misoprostol , radiology , biology , genetics
Objective. To determine the effectiveness of alternative methods for assessing abortion using the drug method at an early date for use in the interests of patients. The main provisions. 35 literary sources published in the MEDLINE, PubMed, and other databases were analyzed. It has been shown that the woman’s independent use of semi-quantitative or multi-level tests for determining the content of β-hCG in the urine at home, combined with telephone control by a physician, has high sensitivity and specificity in diagnosing pregnancy termination, is not inferior in terms of the effectiveness of ultrasound, and excludes the likelihood of overdiagnosis of abortion. Conclusion. Routine clinical examination and ultrasonography are not required after medical abortion, and self-testing for β-hCG in the urine can be used to confirm the complete termination of pregnancy in the early stages.