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Flashcards in Abortion Deck (10)
1

Up to how many weeks is medical abortion indicated

2

what are the options for 1st trimester abortions

medical
D&C
manual vacuum extraction

3

MCC death during 1st trimester abortions

general anestethia

4

What is the safest and most effective method of abortions

suction D&C (7-13 weeks)

5

what are the agents used for medical abortions + MOA

-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

side effects of medical abortion

abd pain/cramps, uterine bleeding, N/V

7

how is 2nd trimester abortion performed

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

complication of 2nd trimester abortions

trauma, inf, retained tissue, uterine perforation

9

how is labor induced for 2nd trimester abortions?

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

10

3rd trimester abortions are illegal after ___ wks

24

** unless necessary for preservation of maternal life