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induced abortion; medical abortion

Premature termination of pregnancy with loss of fetus. Complications: - medical & surgical abortion have similar risk for subsequent adverse pregnancy outcomes - venous thromboembolism - hemorrhage - sepsis - shock Management: 1) 3 office visits required 2) 1st visit: 3 mifepristone tablets 3) 2 days later, 400 ug of buccal misoprostol [3] 4) doxycycline 100 mg PO BID [3] 5) follow-up after 2 weeks to confirm termination of pregnancy

Related

pregnancy (gestation)

General

clinical procedure abortion

References

  1. Dorland's Medical Dictionary, 23rd ed., WB Saunders, Philadelphia, 1990
  2. Virk J, Zhang J, Olsen J. Medical abortion and the risk of subsequent adverse pregnancy outcomes. N Engl J Med. 2007 Aug 16;357(7):648-53. PMID: 17699814
  3. Fjerstad M et al Rates of Serious Infection after Changes in Regimens for Medical Abortion NEJM 2009 361:145-151 PMID: 19587339
  4. American Congress of Obsetricians and Gynecologists (ACOG) ACOG Statement on Medication Abortion. March 30,2016 http://www.acog.org/About-ACOG/News-Room/Statements/2016/ACOG-Statement-on-Medication-Abortion