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OBGYN Clerkship > Abortion > Flashcards

Flashcards in Abortion Deck (10)
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1
Q

Up to how many weeks is medical abortion indicated

A

</= 7weeks, requires b-hCG f/u in 2 weeks

2
Q

what are the options for 1st trimester abortions

A

medical
D&C
manual vacuum extraction

3
Q

MCC death during 1st trimester abortions

A

general anestethia

4
Q

What is the safest and most effective method of abortions

A

suction D&C (7-13 weeks)

5
Q

what are the agents used for medical abortions + MOA

A
  • mifepristone: blocks progesterone stimulation and cuases embryo detatchment
  • methotrexate: blocks DHF reductase and decreased cellular division and blocks placental proliferation
  • misoprostol: ripens cervix, used with MTX to increase efficacy
6
Q

side effects of medical abortion

A

abd pain/cramps, uterine bleeding, N/V

7
Q

how is 2nd trimester abortion performed

A

D&E or induction of labor (IOL is better since intact fetus can be used for autopsy)

**D&E ~ D*C but requires wider cervical dilation + use of special forcept to extract fetal parts

8
Q

complication of 2nd trimester abortions

A

trauma, inf, retained tissue, uterine perforation

9
Q

how is labor induced for 2nd trimester abortions?

A

cervix is ripened with misoprostol –> amniotomy –> high dose oxytocin

10
Q

3rd trimester abortions are illegal after ___ wks

A

24

** unless necessary for preservation of maternal life