1 / 18

Medical examinations before surgical abortion

Learn about modern technologies and complications of induced abortion, as well as risk factors and rehabilitation measures. Includes pre-abortion care and physical examinations.

phylliswalker
Download Presentation

Medical examinations before surgical abortion

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Medical examinations before surgical abortion Moscow Regional Research Institute of Obstetrics & Gynecology Olga Serova, MD, professor

  2. Abortions and deliveries in Moscow Region Girls up to 14 years 2002г. – 0,11%; 2003г. – 0,08%.

  3. Modern Technologies of Induced Abortion • Surgical abortion • Vacuum aspiration (mini-abortion) • Medical methods (mifepristone)

  4. Early abortion complication • Cervical trauma • Incomplete abortion / Failed abortion • Haemorrhage • Uterine perforation

  5. Maternal mortality in Moscow Region

  6. Abortion Complication 14% 12% 10% 8% 6% 4% 2% 2% 0% Haemorrhage Endometritis Incomplete abortion

  7. Risk Factors in developing of abortion complications • Chronical inflammatory diseases • STI • Scar utery • Leomyoma uterus • Frequent changes sex partners • Operations in women’ hystory

  8. Rehabilitation after abortion • Before abortion • During abortion • In early post-abortion period • Long-term period

  9. Pre-abortion care • Confirming the pregnancy • Physical examination and pre-existing conditions • Information and counseling

  10. Physical examination before abortion • Ultrasound scanning • Measuring haemoglobin and haematocrit (Нв, Ht) • Tests for ABO and Rhesus (Rh) blood group typing • Tests for RW, HIV, HbsAg, HCV • Laboratory testing for RTIs • Cervix Cytology • Others – in special indications

  11. Ultrasound scanning • Confirm pregnancy and estimate its duration • Detection of ectopic pregnancy • Pre-existing conditions (leiomyoma uterus, abnormalities etc) • Intrauterine device

  12. Blood Laboratory Testing • Measuring hemoglobin and haematocrit – to detect anemia and blood diseases • Tests for ABO and Rhesus (Rh) blood group typing – for anti-D immunoglobulin injection • Tests for RW, HIV, HBsAg, HCV – for prevention abortion complication

  13. For excluding RTI • Bacterioscopy is not enough information • RTI – for inflammatory diseases diagnostic’s

  14. Rehabilitation during abortion • Methods of abortion • Abortion clinics or facilities • Pain management • Emergency treatment

  15. Rehabilitation in post-abortion period • After medical abortion – 2 hours observation, ultrasound – in 7-10 days • After surgical abortion - observation in a hospital,physical examination and ultrasoundbefore discharge

  16. Inflammatory Diseases Prevention Vacuum aspiration Medical abortion Surgical abortion • Chomical inflammatory • diseases • Uterus’ scar • Repeated operative • treatment in women’s life • Pre-existing STI • Colpitis • Bacterial vaginosis • In any cases

  17. Inflammatory Diseases Prevention • After medical abortion – Cefuroxim 150 mg (one dose) • During vacuum aspiration - Cefuroxim 150 mg(one dose) • After surgical abortion –antibiotics prevention courses during 5-10 days

  18. Effectiveness prevention' programs after abortion (1 year follow-up)

More Related