Transcript
A termination of pregnancy via the intervetion of
a physician through surgery or the use of RU 486
or some other medication.
To prevent injury to the physical or mental health
of the woman.
MEDICAL ABORTION
Medical history-currentlz or h/o DM,HPT,heartdisease,anemia & bleeding disorders
Gynaecological history-currently or h/o any disease r/t reproductive organs
Surgical history
Obstetric history Age
Blood investigation
Ultrasound
-to determine the no. & size
of fetus
Transvaginalscan
Physical examination
Urine
-C&S
-Pregnancy test
Can be accomplished with a variety
of medications.
Either as a single pill or series of
pills
Has a success rate-75 to 95%
Most effective is done in the first
trimester
Misoprostol –causes uterine
contractions & the ripening
of the cervix.
Miferex (RU-486) with or without misoprostol.
Dilatation &
curettage (D&C)
Manual vacuum
aspiration
Electric vacuum aspiratio
n
Dilatation & extraction
(D&E)
Saline infusion
Most common method during 9-14 weeks of pregnancy.
The cervix is examined to evaluate if it is open or not.
If the cervix is closed,dilators will be inserted to open the cervix to allow the surgical instruments to pass through. A speculum will be placed to
keep the cervix open.
The use of curette- to scrape the
uterus lining.
The tissue removed during the
procedure will be sent off to the
pathology lab for testing.
•A method of abortion performed during the first trim
ester of pregnancy, in which the contents of the uteru
s are withdrawn through narrow tube. Also called suc
tion curettage, vacuum curettage.
Done under LA.
Combination of suction curettage & manual
evacuation.
Ultrasound may be used as a guidance.
Performed in more than 20/52 of pregnancy.
A needle is inserted through the mother’s abdomen.
A solution of concentrated salt (20% hypertonic
saline) is injected into amniotic fluids)
The fetus breathes in & swallow the solution & dies
within 1-2 hours from salt poisoning,dehydration,
hemorrhage of the brain
& organ failure.
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