Q: 多次墮胎會導致習慣性流產嗎?Third abortion cause habitual abortion?

Dear Dr.:

        I have a big problem these days. My girl friend is pregnant

again.It's the third times .The first and second pregnant is do abortion

by medicine(mifepristone,RU486).It is seemed  no side affect was

happen.Although we took some way to prevent pregnancy,it still happened

again.I don't know how to deal with this matter.As I know ,excessive

abortion will cause habitual abortion.But we don't want this baby.

      Please give me advice about the next step.(Will the third abortion

cause habitual abortion?)Please help me.

My e-mail adress is robbinwu@hotmail.com      robbin

A:To  Robbin:

雖然您女朋友已作過兩次用墮胎丸(mifepristone,RU486)方式的流產,好在沒有什麼後遺症;這次又不小心受孕了,如果沒有計畫生養小孩,也只有流產一了。

但您所顧慮的「多次墮胎會導致習慣性流產」是不正確的,不管用藥物或作人工流產手術,只要事後追蹤檢查流產乾淨完全,子宮收縮正常,就不會變成骨盆腔炎症,反之若流產不完全才會因嚴重的骨盆腔炎症,骨盆腔腹膜炎,甚至輸卵卵巢膿瘍,導致輸卵管水腫阻塞或粘連,才會引起日後慢性骨盆痛及不孕症等後遺症。

目前之計,只有先選擇看要用RU486藥物的方式流產(5%會不完全流產)或請合法的優生保健醫師以人工流產手術的方式解決。下一步則要好好考慮如何避孕,「子宮內避孕器IUD」是不錯的方式。目前唯一可以安慰您們的是既然都已作過兩次流產,而且又很快再度受孕,至少証明前兩次流產都沒有什麼合併症或後遺症發生, 大可不必杞人憂天了。

                                          鴨嘴大夫  87/5/31

                          

titles.gif (2030 bytes)
www.drkao.com
本站純為服務性質
本頁資料只供參考