Obstetrics and GynecologyObstetrics and GynecologyАкушерство и гинекология0300-90922412-5679Bionika Media24760910.18565/aig.2016.4.11-15ArticlesСтатьиResearch ArticleMedically induced abortion at 12 to 22 weeks gestation: Indications, methods, and resultsМедикаментозное завершение беременности в сроки от 12 до 22 недель: показания, методы и результатыKanNatalia E.КанНаталья Енкыновна

PhD, MD, the head of the obstetric observation department

д.м.н., зав. акушерским обсервационным отделением

kan-med@mail.ruBaranovIgor I.БарановИгорь Иванович

PhD, MD, the head of the organizational-methodological department

д.м.н., профессор, зав. организационно-методическим отделом

i_baranov@oparina4.ruDikkeGalina B.ДиккеГалина Борисовна

PhD, MD, professor of obstetrics, gynecology and reproductive medicine faculty of postgraduate education of health professionals

д.м.н., профессор кафедры акушерства, гинекологии и репродуктивной медицины факультета последипломного образования медицинских работников

galadikke@yandex.ruTyutyunnikVictor L.ТютюнникВиктор Леонидович

PhD, MD, the head of the obstetric physiological department

д.м.н., зав. акушерским физиологическим отделением

tioutiounnik@mail.ruResearch Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of RussiaФГБУ НЦАГиП им. академика В.И. Кулакова Минздрава РоссииResearch Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of RussiaФГБУ «НЦАГиП им. академика В.И. Кулакова Минздрава РоссииPeoples' Friendship University of RussiaФГАОУ ВО Российский университет дружбы народов150420164NO4 (2016)№4 (2016)111518022023Copyright ©; 2016, Bionika MediaCopyright ©; 2016, ООО «Бионика Медиа»2016Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/0300-9092/article/view/247609

Objective. To give an update on abortion procedures in the second trimester of pregnancy (at 12 to 22 weeks’ gestation). Subject and methods. Available literature sources published in Medline, Pubmed, and other databases were sought. A total of 107 sources dealing with different abortion procedures in the second trimester were found; 20 of them were included in this review. Results. Both surgical (dilatation and evacuation) and medical procedures are recommended to end pregnancy after 12 weeks. Their advantages, high efficiency, and possible complications of the medical procedure using mifepristone and misoprostol over other techniques are shown. Conclusion. The clinical experience of medically induced abortion in late periods (in the second trimester - at 12 to 22 weeks’ gestation) demonstrates that this technique is promising and safe.

Цель исследования. Представить современные данные о методах прерывания беременности во II триместре (от 12 до 22 недель) беременности. Материал и методы. Проведен поиск доступных литературных источников, опубликованных в базе данных Medline, Pubmed и др. Было найдено 107 источников, посвященных различным методам прерывания беременности во II триместре, из которых 20 были включены в данный обзор. Результаты. Для прерывания беременности сроком более 12 недель рекомендуются, как хирургический (дилатация и эвакуация), так и медикаментозный методы. Показаны преимущества, высокая эффективность и возможные осложнения медикаментозного метода с использованием мифепристона и мизопростола по сравнению с другими методиками. Заключение. Клинический опыт медикаментозного прерывания беременности в поздних сроках (II триместр - от 12 до 22 недель) демонстрирует перспективность и безопасность этого метода.

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