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2003, Número s1

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Gac Med Mex 2003; 139 (s1)


El manejo del aborto espontáneo y de sus complicaciones

Menéndez VJF

Idioma: Español
Referencias bibliográficas: 51
Paginas: 47-54
Archivo PDF: 86.93 Kb.


RESUMEN

La reproducción es una de las funciones más ineficaces del ser humano, con pérdidas del 50 al 75% y del 15 al 20% en embarazos diagnosticados clínicamente. El embarazo puede diagnosticarse cada vez más temprano empleando métodos cuantitativos para la determinación de la subunidad-β de la gonadotropina coriónica así como estudios ultrasonográficos. Estos métodos también permiten clasificar al aborto espontáneo en temprano y tardío. Entre las causas que pueden producirlo se encuentran las genéticas (que son las más frecuentes), la deficiencia de la progesterona, la Diabetes Mellitus, el Síndrome de Ovarios Poliquísticos, los hematomas subcorionicos, las infecciones, etc. El manejo más frecuente es con legrado uterino instrumental. Recientemente, el manejo farmacológico con misoprostol o metotrexate o mediante aspiración manual endouterina ha ganado muchos adeptos. Las complicaciones más frecuentes son el sangrado, el dolor, la retención de restos, la infección y la perforación uterina, sin hacer a un lado las complicaciones psicológicas.


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