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3c Ibarra Arcel Grace D.

The document describes different abortion methods for the first and second trimesters. For the first trimester, surgical abortion methods include vacuum aspiration and dilation and curettage. Medical abortion methods include mifepristone with misoprostol, methotrexate with misoprostol, and misoprostol alone. For the second trimester, surgical methods include dilation and evacuation and dilation and extraction. Medical methods include mifepristone with misoprostol, misoprostol alone, dinoprostone, and oxytocin.

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49 views3 pages

3c Ibarra Arcel Grace D.

The document describes different abortion methods for the first and second trimesters. For the first trimester, surgical abortion methods include vacuum aspiration and dilation and curettage. Medical abortion methods include mifepristone with misoprostol, methotrexate with misoprostol, and misoprostol alone. For the second trimester, surgical methods include dilation and evacuation and dilation and extraction. Medical methods include mifepristone with misoprostol, misoprostol alone, dinoprostone, and oxytocin.

Uploaded by

Dawn I.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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IBARRA, ARCEL GRACE D.

ASSIGNMENT:
ABORTION: ENUMERATE AND DESCRIBE/DISCUSS THE DIFFERENT ABORTION
METHODS.

METHODS FIRST TRIMESTER SECOND TRIMESTER

Surgical 1. Vacuum Aspiration 1. Dilation and Evacuation (D&E)


Abortion  Also called suction dilation and  Preferred during the second
curettage or suction curettage trimester
 It is a trans cervical approach  Presurgical cervical is advised
to surgical abortion wherein with the main options including
the cervix is first dilated using hygroscopic dilators or
a rigid cannula attached to an misoprostol
electric-powered vacuum  Complications are less
source or a handheld 60-ml frequent in earlier gestation.
syringe and then products of The preferred technique of
conception are evacuated. cervical dilatation is to use
 Cervical priming prior to multiple osmotic dilators.
surgical evacuation reduces
the risks of cervical injury by 2. Dilation and extraction (D&X)
making the cervix softer and  Uses a suction cannula to
easier to dilate evacuate the intracranial
contents after delivery of the
2. Dilatation and curettage fetal body through the dilated
 A surgical procedure in which cervix
the cervix is opened (dilated)  Also called an intact D&E
and a thin instrument is
inserted into the uterus. This
instrument is used to remove
tissue from the inside of the
uterus (curettage)

Medical Three medications are used alone or 1. Mifepristone + Misoprostol


Abortion in combination: mifepristone,  Yields a shorter termination
methotrexate, and misoprostol duration
 Uses 200mg orally followed in
1. Mifepristone /misoprostol 24-48 hr by misoprostol
 Augments uterine contractility (400ug-vaginally or bucally
be reversing progesterone- every 3 hr up to 5 doses)
induced myometrial
quiescence 2. Misoprostol alone
 Administered orally (200-600  Oral administration leads to a
mg); to be followed in 24-48 hr longer time to delivery
by misoprostol 200-600ug-oral, compared with vaginal or
400-800ug-vaginal, buccal, or sublingual routes
sublingual)  Uses 600-800ug vaginally;
followed by 400ug vaginally or
2. Methotrexate/misoprostol bucally every 3 hr up to 5
 Acts on the trophoblast and doses
halts implantation
 When used with misoprostol: 3. Dinoprostone
50mg/m2 BSA intramuscularly  An induction agent which
or orally, followed in 3-7 days shows similar efficacy and side
by misoprostol (800ug- effects compared with
vaginally). misoprostol
 Uses 20 mg vaginal
3. Misoprostol suppository every 4 hrs
 Directly stimulates the
myometrium 4. Oxytocin
 If used alone, 800ug vaginally  Will result in 2nd trimester
or sublingually every 3 hrs for abortion in 80-90% of cases
3 doses  Uses 50 units oxytocin in 500
ml of normal saline infused
during 3 hr then 1 hr diuresis;
then escalate sequentially in a
similar fashion through 150,
200, 250, and finally 300 units
of oxytocin each in 500 ml
saline.

ECTOPIC PREGNANCY:
Identify the different locations of ectopic pregnancy in the picture below. 6pts.
A Interstitial ectopic pregnancy

B Isthmic ectopic pregnancy

C Ampullary ectopic pregnancy

D Fimbrial/ Infundibular ectopic pregnancy

E Ovarian ectopic pregnancy

F Cervical ectopic pregnancy

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