Ibrahim, Adibah
(2002)
The comparison between extra-amniotic saline infusion and gemeprost as abortificient in mid-trimester silent miscarriage.
Masters thesis, Universiti Sains Malaysia.
Abstract
"Extra- amniotic saline infusion" (EASI) bukanlah satu agen pengguguran yang baru, tetapi sebagaimana yang dilaporkan, ia adalah satu kaedah yang selamat digunakan. Di sebaliknya, Gemeprost merupakan kaedah yang popular dan kerap digunakan tetapi mahal. Pada ketika ini, perbelanjaan rawatan adalah tinggi. Dengan sebab itu, sesetengah hospital mencari altematifbagi menggugurkan kandungan.
Berrnu1a dari 1hb. Mac 2001 sehingga 28hb. Februari 2002,
seramai 91 pesakit "silent miscarriage" telah dipilih secara rawak untuk kedua- dua kaedah pengguguran ini, iaitu kaedah EASI atau Gemeprost. Keberkesanan kedua-dua kaedah ini dibandingkan dari segi kesempumaan pengguguran, jangkamasa yang diambil untuk mengalami keguguran, jangkamasa berada di hospital, kos rawatan, kesan sampingan dan akhimya penerimaan pesakit terhadap kaedah tersebut.
Extra- amniotic saline infusion (EASI) as abortifacient is not new, however it is still a safe abortifacient as quoted in the literatures. Gemeprost on the other hand is a
popular abortifacient used widely however at exhorbitant cost. In this day and age when the price of health care is escalating some countries are considering cheaper altematjves. We at Hospital Kota Bharu wished to evaluate EASI as an alternative method of abortifacient. From 1st March 2000 till 28th February 2001 , 91 patients were randomly selected to two methods of abortifacient, Gemeprost 1 mg daily (wruch is the standard protocol in HKB) and EASI. Both methods were analysed and compared for effectiveness in terms of completeness of abortion and inductionabortion
interval, adverse effects, duration of hospital stay and the cost of treatment and finally the patients' satisfaction of the treatment.
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