Abortion

INDUCED

ABORTION

MedicalSurgical

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

Economic status-poor

Marital status

Age

Mental disorder

Abusive

sexual act

Medical reason

Taking history

Physical examination

Speculum examination

Counseling

Investigations

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

•Retained blood clots & tissue

•Cervix

Example,regarding:-

Coping mechanism

& support system

Future pregnancy

Risk of repeating

abortion

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.

The embryo or fetus is removed by suction

using manual syringe.

•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s are withdrawn through narrow tube.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.