Abstract

Thesis

Women's Perceptions of Medical Treatment Versus Surgical Management of First-trimester Miscarriage

Azza Mustafa Elzein, Hajar Suliman Ibrahim Ahmed, Awadalla Abdelwahid Suliman*, Siddig Omer M Handay, Gamar Bushra Omer and Sahar Ali Musa

Published: 27 November, 2023 | Volume 6 - Issue 4 | Pages: 193-200

Background: Miscarriage is a common gynecological problem and early pregnancy loss occurs in the first trimester. Early pregnancy miscarriage is managed expectantly, surgically, and medically. Medical management is a new treatment option, also surgical evacuation is the standard treatment for some types and presentations of miscarriage. Medical management might be more suitable instead of surgical evacuation, it may be less costly than surgical treatment and consequently, due to its lower complications, most patients prefer it.
Purpose: This study aimed to determine women's perception of medical treatment versus surgical intervention, complications associated with surgical procedures, and medical treatment.
Methodology: It was a comparative, hospital-based study conducted in Bashair Teaching Hospital, on 336 patients diagnosed with miscarriage in the first trimester, 168(group A) were treated medically while 168(group B) were treated surgically. All participating patients in the study fulfilled the selection criteria, that is, the provision of an informed consent and agreement to participate in the study. 
Results: The total number of women during the period of study was 336. The study found that 239(71%) of women prefer medical management compared to 97 (29%) preferring surgery. The complications associated with the medical treatment were (4.2%) infection, (0.6%) bleeding, and (95.2%) without obvious complications. The complications associated with surgical procedures were (7.7%) developmental infection, (16.1%) bleeding, (10.7%) incomplete evacuation, (1.8%) uterine perforation, and (63.7%) without obvious complications.
Conclusion: The study found that over two-thirds of patients Favor medical treatment over surgical procedures. It has also revealed that medical treatment is very effective in terminating pregnancies within the first trimester.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001150 Cite this Article Read Full Article PDF

Keywords:

Perception; Medical; Surgical; Treatment; First-trimester miscarriage

References

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