PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET

Background: Incomplete abortion has contributed to maternal morbidity and mortality. Misoprostol can be used as an alternative management of incomplete abortion beside surgical procedure. Curettage is a surgical management that became standard procedure in incomplete abortion at Sardjito hospital. S...

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Main Authors: , Muhammad Javedh Iqbal, , dr. H. Risanto Siswosudarmo, SpOG(K)
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2013
Subjects:
ETD
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author , Muhammad Javedh Iqbal
, dr. H. Risanto Siswosudarmo, SpOG(K)
author_facet , Muhammad Javedh Iqbal
, dr. H. Risanto Siswosudarmo, SpOG(K)
author_sort , Muhammad Javedh Iqbal
collection UGM
description Background: Incomplete abortion has contributed to maternal morbidity and mortality. Misoprostol can be used as an alternative management of incomplete abortion beside surgical procedure. Curettage is a surgical management that became standard procedure in incomplete abortion at Sardjito hospital. Studies showed that a single dose 600 μg oral misoprostol has a highly success rate in the management of incomplete abortion. Objective: Comparing the success rate of a single dose 600 μg oral misoprostol to curettage in the management of incomplete abortion which gestational age less than 12 weeks. Design of study: Randomized controlled trial Material and method: The eligible subjects of this study were randomized to misoprostol management or to curettage management. The primary outcome was success rate of the intervention, while the secondary outcome was the incidence of infection and bleeding. Follow-up of patients was performed 1 week after the intervention. Patients, who failed to achieve success of treatment, were offered to get curettage. Results: The success of treatment was achieved in 48 patients (84,2%) of misoprostol group and 54 patients (100%) of curettage group. The relative risk success rate of misoprostol was 0,84 (95%CI 0,75-0,94). The incidence of infection was not found in both treatment groups. Incidence of bleeding was 1 patient (1.8%) of misoprostol group, whereas in the curettage group not found the incidence of bleeding after the intervention. Conclusion: Single dose of oral misoprostol 600 μg has success rate lower than curettage in the management of incomplete abortion less than 12 weeks of gestational age, the difference was statistically significant. Curettage procedure is the first choice for management of incomplete abortion.
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spelling oai:generic.eprints.org:1257722016-03-04T08:40:51Z https://repository.ugm.ac.id/125772/ PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET , Muhammad Javedh Iqbal , dr. H. Risanto Siswosudarmo, SpOG(K) ETD Background: Incomplete abortion has contributed to maternal morbidity and mortality. Misoprostol can be used as an alternative management of incomplete abortion beside surgical procedure. Curettage is a surgical management that became standard procedure in incomplete abortion at Sardjito hospital. Studies showed that a single dose 600 μg oral misoprostol has a highly success rate in the management of incomplete abortion. Objective: Comparing the success rate of a single dose 600 μg oral misoprostol to curettage in the management of incomplete abortion which gestational age less than 12 weeks. Design of study: Randomized controlled trial Material and method: The eligible subjects of this study were randomized to misoprostol management or to curettage management. The primary outcome was success rate of the intervention, while the secondary outcome was the incidence of infection and bleeding. Follow-up of patients was performed 1 week after the intervention. Patients, who failed to achieve success of treatment, were offered to get curettage. Results: The success of treatment was achieved in 48 patients (84,2%) of misoprostol group and 54 patients (100%) of curettage group. The relative risk success rate of misoprostol was 0,84 (95%CI 0,75-0,94). The incidence of infection was not found in both treatment groups. Incidence of bleeding was 1 patient (1.8%) of misoprostol group, whereas in the curettage group not found the incidence of bleeding after the intervention. Conclusion: Single dose of oral misoprostol 600 μg has success rate lower than curettage in the management of incomplete abortion less than 12 weeks of gestational age, the difference was statistically significant. Curettage procedure is the first choice for management of incomplete abortion. [Yogyakarta] : Universitas Gadjah Mada 2013 Thesis NonPeerReviewed , Muhammad Javedh Iqbal and , dr. H. Risanto Siswosudarmo, SpOG(K) (2013) PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=65949
spellingShingle ETD
, Muhammad Javedh Iqbal
, dr. H. Risanto Siswosudarmo, SpOG(K)
PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET
title PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET
title_full PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET
title_fullStr PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET
title_full_unstemmed PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET
title_short PERBANDINGAN ANTARA MISOPROSTOL DAN KURETASE DALAM PENATALAKSANAAN ABO RTUS INKOMPLET
title_sort perbandingan antara misoprostol dan kuretase dalam penatalaksanaan abo rtus inkomplet
topic ETD
work_keys_str_mv AT muhammadjavedhiqbal perbandinganantaramisoprostoldankuretasedalampenatalaksanaanabortusinkomplet
AT drhrisantosiswosudarmospogk perbandinganantaramisoprostoldankuretasedalampenatalaksanaanabortusinkomplet