标题: [2007.5.20][转贴][APTX青山病院]早孕失败后外科处理的相关问题 [打印本页] 作者: wangyuankai 时间: 2007-5-20 11:04 标题: [2007.5.20][转贴][APTX青山病院]早孕失败后外科处理的相关问题 Surgical management of early pregnancy failure: history, politics, and safe, cost-effective care
Some of the ideas in this article were presented at the annual meeting of the Council on Resident Education in Obstetrics and Gynecology/Association of Professors of Gynecology and Obstetrics, Mar. 1-4, 2003, Anaheim, CA.
Lisa H. Harris, MD, PhD, Vanessa K. Dalton, MD, MPH, Timothy R.B. Johnson, MD, MA
Received 18 August 2006; received in revised form 7 November 2006; accepted 8 January 2007
Early pregnancy failure and induced abortion are often managed differently, even though safe uterine evacuation is the goal in both. Early pregnancy failure is commonly treated by curettage in operating room settings in anesthetized patients. Induced abortion is most commonly managed by office vacuum aspiration in awake or sedated patients. Medical evidence does not support routine operating room management of early pregnancy failure. This commentary reviews historical origins of these different care standards, explores political factors responsible for their perpetuation, and uses experience at University of Michigan to dramatize the ways in which history, politics, and biomedicine intersect to produce patient care. The University of Michigan initiated office uterine evacuations for early pregnancy failure treatment. Patients previously went to the operating room. These changes required faculty, staff, and resident education. Our efforts blurred the lines between spontaneous and induced abortion management, improved patient care and better utilized hospital resources.
Surgical management of early pregnancy failure: history, politics, and safe, cost-effective care
手术治疗早期妊娠失败:历史,政治，安全和护理成本效益
Some of the ideas in this article were presented at the annual meeting of the Council on Resident Education in Obstetrics and Gynecology/Association of Professors of Gynecology and Obstetrics, Mar. 1-4, 2003, Anaheim, CA.
Lisa H. Harris, MD, PhD, Vanessa K. Dalton, MD, MPH, Timothy R.B. Johnson, MD, MA
在这篇文章中一些观点，已在年度理事会会议住院医教育在妇产科教授协会妇产科,3月1日至4日,2003年，阿纳海姆,加拿大.
isa H. Harris, MD, PhD, Vanessa K. Dalton, MD, MPH, Timothy R.B. Johnson, MD, MA
Received 18 August 2006; received in revised form 7 November 2006; accepted 8 January 2007
2006年8月18日投稿; 2006年11月7日收到校对搞; 于2007年1月8日接收
Early pregnancy failure and induced abortion are often managed differently, even though safe uterine evacuation is the goal in both. Early pregnancy failure is commonly treated by curettage in operating room settings in anesthetized patients. Induced abortion is most commonly managed by office vacuum aspiration in awake or sedated patients. Medical evidence does not support routine operating room management of early pregnancy failure. This commentary reviews historical origins of these different care standards, explores political factors responsible for their perpetuation, and uses experience at University of Michigan to dramatize the ways in which history, politics, and biomedicine intersect to produce patient care. The University of Michigan initiated office uterine evacuations for early pregnancy failure treatment. Patients previously went to the operating room. These changes required faculty, staff, and resident education. Our efforts blurred the lines between spontaneous and induced abortion management, improved patient care and better utilized hospital resources.