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Abortion in Early pregnancy

Abortion in Early pregnancy. Surgical Abortion. 90 % of abortions occur in the first trimester. Surgical abortion is very safe and effective. It requires one visit and is over within minutes. It is 10x safer than carrying a pregnancy.

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Abortion in Early pregnancy

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  1. Abortion in Early pregnancy

  2. Surgical Abortion • 90% of abortions occur in the first trimester. • Surgical abortion is very safe and effective. • It requires one visit and is over within minutes. • It is 10x safer than carrying a pregnancy. • The objective is to remove the pregnancy, not to “clean out” the uterus.

  3. Medical Abortion • Medical abortion is not the same as emergency contraception! • It requires multiple visits and takes a few days to complete. • Medical abortions can only be given for early first trimester pregnancies.

  4. Abortificients • Mifepristone is an anti-progesterone that causes decidual necrosis, contractions, and cervical dilation. • Misoprostol is a prostaglandin that helps contract the uterus, doubling the efficacy of Mifepristone. • ​Misoprostol can be given orally, but has better bioavailability/efficacy and fewer side ​effects if given vaginally

  5. Mifepristone+ Misoprostol induces abortions. • The Mifepristone is given on day 1, • the Misoprostol ​on day 3, and a follow-up visit on day 15. • So this takes more visits than surgical abortion.

  6. Methotrexate(anti-metabolite) + Misoprostol treats ectopic pregnancies. • This drug combo is ​not approved for regular abortion purposes, and is the only medical treatment for ectopics.

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