Ppt on medical abortion

First Trimester Bleeding and Abortion UNC School of Medicine Obstetrics and Gynecology Clerkship Case Based Seminar Series Division of Family Planning.

/EPF Electric Vacuum Aspirator  Aspiration/vacuum  Preparation  Music  Support during procedure  Conscious sedation  Paracervical block  Medication abortion  NSAIDS  Oral narcotics and anti- emetics if necessary Pain Management 18 Tissue examination  Basin for POC  Fine-mesh/IM, et al. N Engl J Med. 1998; Winikoff B, et al. Am J Obstet Gynecol. 1997. Medical abortion protocols 35  Discuss pain management  Informed Consent  Discuss contraception – even those with abnormal or wanted pregnancy may/


1 Medication Abortion Dr. Sasan Zaeri (PharmD, PhD) Department of Pharmacology.

%-2% Hemorrhage requiring transfusion 0.1%-0.5% 25 Methotrexate/misoprostol regimen Summary  Methotrexate/misoprostol is approximately 95% effective in terminating pregnancies ≤49 days’ gestation  Methotrexate/misoprostol is the preferred medication abortion method for confirmed or suspected ectopic pregnancies 26 Misoprostol-only regimen 27 Misoprostol-only regimen Evidence-based protocols  No consensus exists on optimal protocol  Various regimens, dosing schedules and routes/


History of Abortion. The Experience of Abortion Before 1973, (legalized abortion) women undergoing abortion had horrific experiences. Physicians were.

of abortions in the US, has located 80% of its clinics in minority areas targeting minorities for abortion. ABORTION HOW IT’S DONE Medical Abortion Medical abortion, or non-surgical abortion, is a way to terminate an early pregnancy using medications. A medical abortion is performed/vagina. At some point during this period woman returns to Dr.’s office to make sure the abortion is complete. Medical abortion is NOT the same as emergency contraception, a/k/a “the morning-after pill.” Emergency contraception/


THE 1861 OFFENCES AGAINST THE PERSON ACT IN THE UK AND DECRIMINALISATION OF ABORTION MARGE BERER COORDINATOR, INTERNATIONAL CAMPAIGN FOR WOMENS RIGHT.

an ayurvedic shop was selling MA pills and was arrested following reports to police in West London of a number of women attending Ealing Hospital with complications (probably incomplete abortions). 2015.  Offence: Supplying medical abortion pills with intent to unlawfully procure miscarriages, Section 59. 27 months. Note: Ony the seller was prosecuted. But she was apparently meeting a need for women who, for/


Chapter 5: Abortion.

accept, they offer the prospect of developing a consensus. Ethical focus of chapter readings The chapter articles focus on two questions: Is abortion moral? Do medical professionals have an obligation to provide emergency contraception (EC) even if they object to their use for ethical reasons? Comments on readings The writers in sections 1 and 2 of /


Safe abortion- medical methods of termination, post abortion care and referral, pre and post abortion counseling 27/06/2014.

that require management or may influence the choice of abortion procedure.  Provide an opportunity to discuss future use of contraception. Medical Termination  Use of pharmacological drugs to terminate pregnancy.  Sometimes the terms “non-surgical abortion” or “medication abortion” are also used.  Medical abortion is a multistep process involving two medications (mifepristone and misoprostol) and/or multiple doses of one medication (misoprostol alone). Peculiarities Avoids surgery Mimics the process of/


Abortion: Life? Choice? Right? Secular Arguments Against Abortion Richard Deem Evidence for God (www.GodAndScience.org)www.GodAndScience.org Richard Deem.

laws logically consistent? Moral Issues When does a person begin to exist? Scientific Arguments When does human life begin?When does human life begin? Medical textbooksMedical textbooks Statements of doctorsStatements of doctors When does abortion occur?When does abortion occur? “Products of conception” – just a “blob of tissue”“Products of conception” – just a “blob of tissue” When does human life begin?When does/


ASAP Satellite Symposium Safe Abortion in Asia - Making it Work 5th APCRSHR, Beijing Introducing medical abortion into the public sector in Nepal Dr B.

of the national guidelines. In the initial phase this was undertaken in healthcare facilities in six districts. Development of a training curriculum for the provision of comprehensive abortion care, in particular, of MVA and medical abortion. Development of IEC materials for healthcare providers and users. Development of an advocacy strategy for CAC. Implementation of operations research to allow planning for scaling up to/


Medical Education Series © 2005 National Abortion Federation E A R L Y O P T I O N S A PROVIDER’S GUIDE TO MEDICAL ABORTION.

effects compared to oral misoprostol –More rapid expulsion compared to oral misoprostol –Increases efficacy of medical abortion for gestations up to 63 days –Decreases continuing pregnancy rate Home use of misoprostol Flexibility in/ Antimetabolite –Blocks dihydrofolate reductase –Primary effect is to impede DNA synthesis Affects cytotrophoblast cells—impairs implantation Medical Abortion with Methotrexate/ Misoprostol: Contraindications Anemia (Hgb < 10 g/dL) Known coagulopathy Active renal or liver/


An Overview of Abortion in the United States

weeks’ gestation—up from just 20% in 1970. Just 1% of abortions are performed after 20 weeks. Weeks Incidence of Early Medication Abortion, 2011 Early medication abortion accounted for 23% (239,400) of all nonhospital abortions, an increase from 17% in 2008. An estimated 36% of eligible abortions (those performed up to nine weeks) were early medication abortions. Fifty-nine percent of all known providers offer this service, compared/


Things Everybody Should Know About Abortion. In the ancient world abortion was frequently practiced by pagans and occasionally by Jews and Christians.

rape or incest. In June 1967, following the ALI model, the American Medical Association voted to change that bodys long-standing opposition to abortion. With a new resolution, the AMA now condoned abortion for the life or health of the mother, for a babys incapacitating physical / uterus to contract and expel the embryo. It can be used within 49 days since the last menstrual period as a medical abortion. Development at Three Months Fetus is 2 1/2 to 3 inches long Weighs about 1/2 to 1 ounce Nails start/


Wellesley October 2005 Lethal Legacy: The Link Between Abortion and Breast Cancer Eve Sánchez Silver Medical Research Analyst Executive Director CLResearch.

dads A-BC LegacyESS 69 Wellesley October 2005 Litigation and The Abortion-Breast Cancer Link A-BC LegacyESS 70 Wellesley October 2005 Litigation and The Abortion-Breast Cancer Link Medical Malpractice Risk for doctors Two non-disclosure A-BC link info / Books, 1996. 9. Reardon DC, Strahan TW, Thorp JM, Shuping MW. Deaths associated with abortion compared to childbirth: a review of new and old data and the medical and legal implications. The Journal of Contemporary Health Law & Policy 2004; 20(2):279-327. /


BIRTH CONTROL AND ABORTION IN AMERICAN HISTORY Jonathon Erlen.

life, the Protestant churches refused to enter this debate. We can therefore say that it was the medical profession, seeking to extend its control over this medical procedure, which effectively lead the anti ‑ abortion efforts in the second half of the 19th century. The anti-abortion state laws in place by 1900 would not be effectively legally challenged or altered until the 1960s, and/


Abortion An abortion is the termination of a pregnancy by the removal or expulsion from the uterus of a fetus/embryo, resulting in or caused by its death.

it is performed at the request of the woman "for reasons other than maternal health or fetal disease." Abortion methods Medical Surgical Other Medical Abortions "Medical abortions" are non-surgical abortions that use pharmaceutical drugs, and are only effective in the first trimester of pregnancy. Medical abortions comprise 10% of all abortions in the United States and Europe. Combined regimens include methotraxate or mifepristone, followed by a prostaglandin (either misoprostol/


Abortion Seminar Dr Chisale Mhango FRCOG 1 NPC Training in MNH.

Safe Unsafe WorldAfrica Latin America Asia Europe North America ------------------------------------------ 28 NPC Training in MNH 1. Management of patient with complications of unsafe abortion 1. Good medical and social history – to detect all ill health and factors that may explain occurrence of abortion 2. Full physical examination – to illicit evidence of general ill-health 3. Pelvic examination to detect extent of complications (Speculum and/


Obstacles to Abortion and Comprehensive Reproductive Health Care Martin Donohoe, MD, FACP.

face social and occupational deficiencies Their children may face social and occupational deficiencies Barriers to Abortion: Scare Tactics, Misinformation, and Pseudoscience Neither medical nor surgical abortion increase subsequent risk of ectopic pregnancy, spontaeous abortion, preterm birth, or low birth weight Neither medical nor surgical abortion increase subsequent risk of ectopic pregnancy, spontaeous abortion, preterm birth, or low birth weight No overall effect on the risk of breast/


Richard Cavell You may contact me by anytime if you want to talk about medicine or medical law.

sterilisation of intellectually disabled people  Genetic engineering  Heroin injecting rooms  Indigenous health  Infectious disease control among immigrants  Mandatory reporting of child abuse/pregnancy  Medical marijuana  Medical negligence litigation  Mental illness  Paedophilia  Partial-birth abortion  Pharmaceutical patents  Pregnant children  Sadomasochism  Surrogacy  Taking patients off life support  Unconscious patients who cannot give consent  Vaccination etc. There are 3 topics/


First Trimester Bleeding and Abortion UNC School of Medicine Obstetrics and Gynecology Clerkship Case Based Seminar Series Gretchen S. Stuart, MD, MPHTM.

aspirator  Uses an electric pump or suction machine connected via flexible tubing Surgical management SAB/EPF Electric Vacuum Aspirator  Aspiration/vacuum  Preparation  Music  Support during procedure  Conscious sedation  Paracervical block  Medication abortion  NSAIDS  Oral narcotics and antiemetics if necessary Pain Management Tissue examination  Basin for POC  Fine-mesh kitchen strainer  Glass pyrex pie dish  Back light or enhanced light  Tools to grasp/


 To know and understand the overview of the course  To know and understand some of the facts about abortion. KEY QUESTION WHAT IS A PERSON? KEY WORDS.

life is in danger  the womans physical health is in danger  the womans mental health is in danger  The woman must consent to an abortion, and she must have a medical professionals authorisation.  The legal period within which an abortion can take place is 120 days (about 17 weeks).  UK – 24 weeks  An foetus is viable at 24 weeks  This means it is/


C REATING TOMORROW ’ S ABORTION PROVIDERS AND PRO - CHOICE PHYSICIANS.

on topics such as Faith and Choice, Pregnancy Options Counseling, Global Reproductive Issues, Medical Abortion, Current Legal State of Reproductive Rights, Clinical Realities of Abortion, and Provider Perspectives Panel. Access our free video library for film screenings and events/ practice discussing pregnancy options counseling in a simulated patient setting?  Has your pharmacology course discussed medical abortion? (Bet you learned about Viagra!) O VER 1/3 OF MSFC CHAPTERS ARE ENGAGED IN CURRICULUM/


Second trimester abortion in Europe Marge Berer Editor, Reproductive Health Matters ************** Chair, International Consortium for Medical Abortion.

in the laws create problems for women and providers, especially after 20 weeks of pregnancy.  Internet purchase of medical abortion pills not recommended for second trimester.  Europe is not a community or a union when it comes to abortion law, especially as regards second trimester abortion.  Differences in the laws create problems for women and providers, especially after 20 weeks of pregnancy.  Internet purchase/


Unplanned Pregnancy and Abortion in the U.S. and Canada: What Can We Learn from Europe? Rachael Phelps MD Medical Director of Surgical Services Planned.

-produced pamphlets with photos and detailed description of the fetus designed to deter women from having and abortion Physicians are required to give medically inaccurate information to patients: Physicians are required to give medically inaccurate information to patients: Increased risk of breast cancer (3 states) Increased risk of breast cancer (3 states) The ability of a fetus to feel pain (6 states) The/


Obstacles to Abortion and Comprehensive Reproductive Health Care Martin Donohoe, MD, FACP.

face social and occupational deficiencies Their children may face social and occupational deficiencies Barriers to Abortion: Scare Tactics, Misinformation, and Pseudoscience Neither medical nor surgical abortion increase subsequent risk of ectopic pregnancy, spontaeous abortion, preterm birth, or low birth weight Neither medical nor surgical abortion increase subsequent risk of ectopic pregnancy, spontaeous abortion, preterm birth, or low birth weight No overall effect on the risk of breast/


Abortion Brenda Pereda, MD Assistant Professor Family Planning.

necrosis and detachment of products of conception  causes cervical softening  Dose: 600mg FDA approved  Dose evidence based: 200mg Medical Abortion Effectiveness:  92-98% depends on GA and mifepristone dose  Can be used up to 63 days Contraindications:  /suction cannula, brisk bright red bleeding began. Bleeding continues.  Differential?  Management? Complications  Melanie had a medical abortion. She placed the misoprostol 24 hours ago and had bleeding and cramping that peaked 20 hours ago. She now/


An Overview of Abortion in the United States Guttmacher Institute © August 2011.

of all known providers offer this service, compared with 33% in early 2001.* * Mifepristone was approved by the US Food and Drug Administration for use in early medication abortion in September 2000. Reasons for Abortions Most Important Reasons Given for Terminating an Unwanted Pregnancy Concern for/responsibility to other individuals74% Cannot afford a baby now73% A baby would interfere with school/ employment/ability/


Abortion research developments Dan Grossman, MD Ibis Reproductive Health June 26, 2008.

2007 2.Bracken et al. NAF presentation 2008 3.Grossman et al. Contraception 2007 Advanced practice clinicians and medical abortion Because medical abortion is not invasive procedure, it can be performed by a practitioner with minimal training as long as clinical /back-up or referral is available In about 15 US states, APCs are allowed to provide medical abortion Innovative provision models involving technologies such as telemedicine may improve access and extend reach of physicians in settings /


Medical Termination of Pregnancy. Prof. Ashis Kumar Mukhopadhyay Professor, G & O Medical Superintendent-cum-Vice Principal CSS College of Obstetrics.

procedure. Private procedure. No trauma to the utrus cevix and other organs. No trauma to the utrus cevix and other organs. Post-abortal endometritis very rare. Post-abortal endometritis very rare. No anaesthetic hazards. No anaesthetic hazards. Methods of Abortion Medical abortion….contd. Medical abortion….contd. Disadvantages:- Disadvantages:- Lengthy procedure Lengthy procedure Uncertain Uncertain Unpredictable (timing). Unpredictable (timing). Failure rate: 2-10%. Failure rate: 2-10%. Psychological/


CD Week 19 Julia’s Dilemma PPD. To discuss.. 1. Legal and moral status of the fetus Legal and moral issues associated with abortion Perspectives of the.

Similar to Victorian legislation. 2006 re-evaluated what is meant by ‘unlawfulness’ following a case where 5 medical practitioners were on charges for unlawful abortions. ‘ for the operation to be lawful.. the accused must have had an honest belief on reasonable /of the mother is in jeopardy, then up until the 23 rd week. TASMANIA 2001: legislation allows for abortion if 2 medical practitioners certify in writing that the continuation of a pregnancy would involve greater risk of injury to the physical /


Association of Reproductive Health Professionals www.arhp.org Options for Early Pregnancy Loss: Manual Vacuum Aspiration and Medication Management.

pregnancy loss more… Learning Objectives (continued) List three conditions in a patient that should cause a provider to use caution before providing MVA or medical management of early pregnancy loss List at least one medication regimen used for early medication abortion Module 1: Manual Vacuum Aspiration Overview Incidence of Early Pregnancy Loss Griebel CP, et al. Am Fam Physician. 2005.; Everett C. BMJ. 1997/


Contraception and Abortion

cesarean section, with a 5-7 day hospital stay Hysterectomy – removal of the fetus and uterus Rarely used Medical Abortion Two drugs: Mifepristone (RU-486) Methotrexate They are used with a prostaglandin to produce contractions and expel the/s Reactions Psychological symptoms: A woman’s feelings are often correlated with her society’s views on abortion There is little known about reactions to medical abortions Many women cycle through feelings of relief, happiness, shame, guilt, fear of disapproval, regret, /


Medical Education Series © 2005 National Abortion Federation E A R L Y O P T I O N S A PROVIDER ’ S GUIDE TO MEDICAL ABORTION.

: –Sustained fever > 100.4°F –Fever 24 hours or more after misoprostol Overview Background: safety, definitions, counseling issues “Expected” side effects and their management Complications and their management Case studies Medical Abortion: Complications Continuing pregnancy Persistent gestational sac Persistent bleeding requiring surgical intervention Hemorrhage Infection Undiagnosed ectopic pregnancy Kahn, et al. Contraception 2000 Meta-Analysis: Various Regimens Mifepristone/Misoprostol (< 49 days) 96/


Death and the Law - Unit 20. Preview Homicide Homicide Suicide Suicide Euthanasia Euthanasia Abortion Abortion.

that to continue the pregnancy would involve risk to the life, or injury to the pregnant woman or her existing children Abortion is lawful if certified by 2 medical practitioners that to continue the pregnancy would involve risk to the life, or injury to the pregnant woman or her existing children Also: if there is a substantial risk that /


Abortion Right or Wrong?. Pregnancy 3 trimesters, 40 weeks 1 st Trimester 1-12 weeks 2 nd Trimester 13-28 weeks 3 rd Trimester 29-40 weeks.

succumbed to heart failure after emergency surgery to repair a perforated intestine on September 12 th. 3 rd Trimester Abortions There are many methods of abortion, After 20 weeks the preferred method is partial birth abortion. Partial Birth Abortion Procedure used to end late term pregnancies. Medical Emergency? If a woman’s life is at risk an Emergency Caesarian birth can be performed in 15/


An Overview of Abortion in the United States

of lower rates of sexual activity (Santelli et al., 2006). Source: Jones 2008 Incidence of early medication abortion, 2005 Early medication abortion accounted for 13% (161,100) of all abortions, an increase from 6% in 2001. An estimated 22% of eligible abortions (those performed up to 9 weeks) were early medication abortions. 57% of all known providers offer this service, compared to 33% in early 2001. Source: Jones/


1 First Trimester Bleeding and Abortion MS-3 Case Based Series Gretchen S. Stuart, MD, MPHTM Amy G. Bryant, MD Jennifer H. Tang, MD Family Planning Program,

flexible tubing 25 Pain management Aspiration/vacuum ▪ Preparation ▪ Music ▪ Support during procedure ▪ Conscious sedation ▪ Paracervical block Medication abortion ▪ NSAIDS ▪ Oral narcotics and antiemetics if necessary 26 Floating chorionic villi Tissue examination Basin for POC Fine-mesh /8 9 to 10 11 to 12 13 to 15 16 to 20 ≥21 Weeks Gestation 40 Medication Abortion Mifepristone ▪ 19-norsteroid that specifically blocks the receptors for progesterone and glucocorticosteroids ▪ Antagonizing effect blocks the/


1 First Trimester Bleeding and Abortion MS-3 Case Based Series Gretchen S. Stuart, MD, MPHTM Amy G. Bryant, MD Jennifer H. Tang, MD Family Planning Program,

1 4 ≤8 9 to 10 11 to 12 13 to 15 16 to 20 ≥21 Weeks Gestation 37 Induced abortion Methods: ▪ Uterine evacuation (same as treatment of Sab) ▫Manual vacuum aspiration ▫Electric vacuum aspiration ▪ Medication ▫Mifepristone and misoprostol (different than Sab) 38 Medication Abortion Mifepristone ▪ 19-norsteroid that specifically blocks the receptors for progesterone and glucocorticosteroids ▪ Antagonizing effect blocks the relaxation effects of/


Abortion in Europe: accessibility and availability

years Highest rates: 25-34 years Ab. ratio: 18/100 pregnancies Eff. contr. use: 79%, TFR: 1.89 Repeated abortions: 25% Facilities: authorized centers Practitioners: gynecologists, GPs, well trained Abortion fee: health insurance Medical abortion: 30% No illegal, unsafe abortion Religion: no interference Observations: rising rates of medical abortion United Kingdom On soc.-ec. grounds (GB) Gest. limit: 24 weeks Counselling: no Waiting period: no Parental consent/


Abortion and the Women’s Movement W. Europe and Internationally: Then and Now Marge Berer Editor, Reproductive Health Matters Chair, International Consortium.

the law.Or − women can do MVA for others or buy medical abortion pills no matter what the law. Clandestine abortion is changing The abortion pill is becoming increasingly available, including where abortion remains legally restricted, replacing more dangerous methods but leading to more incomplete abortions.The abortion pill is becoming increasingly available, including where abortion remains legally restricted, replacing more dangerous methods but leading to more incomplete/


RU-486 The Abortion Pill As Presented By: Fariah Siddiqui.

images/6weeks.jpg The Procedure http://www.cbsnews.com/htdocs/abortion/images/ru_486.gif ①At the clinic, a medical history is taken and a clinical exam and lab tests are performed. If eligible for medical abortion, the woman swallows the mifepristone pill. ①Two days /jpg progressivepuppy.com Con Although its not “surgically” done, using the RU-486 pill is the equivalent of having an abortion. Medical termination is acceptable up to the 49 th day of pregnancy (up to 63 days in many European countries). In /


History of Abortion, #2 January 30, 2008 Sociology of Abortion.

(AJOG, 1972).  Joffe, D.of C., pp. 46-47 What Happened after Roe, What didn’t?  Medical institutions did NOT establish standards for abortion care  Hospitals did not establish services  Ob/gyns did not establish training (CREOG)  “A woman’s right to/always circumscribed by the physician’s right not to perform it.” (D.of C., p.48) Why this medical resistance to normalizing abortion?  The lasting legacy of the pre-Roe era  “ Academics departments of obstetrics and gynecology [did not] welcome skilled abortionists/


Medical Abortion: Options in an Outpatient Setting.

setting that offers on-site MABs and referrals for off-site surgical TABs? –A retrospective, cohort study of 204 women, in a university setting, found 85% of eligible women chose medication abortion. The earlier the gestational age, the more likely a MAB. –Reasons: convenience if both options are acceptable, bias in physician counseling, self-selection of patients Leeman et al., 2007 MABs/


Justice and the Right to Life The Death Penalty, Abortion, Euthanasia.

may not participate in an execution on a prisoner—how much sense does that make? 1. Doctors may perform abortions but may not participate in an execution on a prisoner—how much sense does that make? 2. This lack of medical participation can be problematic because often injections are performed by inexperienced technicians or orderlies. If a member of the execution team/


THE INVIOLABILITY OF HUMAN LIFE and ABORTION Ma. Cristina S. Sombilon, MD,FPSP Department of Medical Humanities UERMMMC College of Medicine.

: “morning after pill” RU – 486 : “morning after pill” Dilatation and Curettage (D&C) Dilatation and Curettage (D&C) FORMS OF ABORTION A.MEDICAL STANDPOINT 1. Spontaneous abortion 1. Spontaneous abortion 2. Induced Abortion 2. Induced Abortion 3. Therapeutic Abortion 3. Therapeutic Abortion B.MORAL STANDPOINT 1. Direct abortion 1. Direct abortion 2. Indirect abortion 2. Indirect abortion 3. Therapeutic abortion 3. Therapeutic abortion C.LEGAL STANDPOINT 1. Criminal 1. Criminal 2. Legal 2. Legal/


Safe Abortion in Asia Making it work ! Dr S P Choong, MB,ChB. FCA. Chair, Asia Safe Abortion Partnership (ASAP)

has had over 200 postings with 82 members on the list so far. Breaking local advocates out of isolation, developing more confidence through a more cohesive e-community. 4. Socialising Abortion: Helpline for medical abortion A proposal to train sympathetic counselors from the local community to provide information on MA and linking them to approved providers. Thus: - Creating community access to/


Integrating medical abortion into safe abortion services in South Africa Jennifer Moodley Margaret Hoffman.

–Day 3: 400 mcg oral misoprostol (offered home or clinic use) –Day 15: Follow-up and final evaluation Medical abortion is available in private sector; not available in public sector Research Studies: SA Feasibility study –profile of TOP clients, the/200mg) mifegyn sold per week. Cost R1020 per pack = R340 per 200 mg tablet. Local research has shown that medical abortion can be integrated into the SA public health care sector Provider training guidelines have been developed and are available Providers have/


Medical Termination of Pregnancy (MTP) Act Dr Seema Mehrotra Associate Professor Dept Of OB&GYN.

ill MTP place to be approved by a district level committee chaired by CMO / DHO Defaulters- rigorous punishment for 2-7 yrs Owner of the place also responsible if defaulter Medical Abortion MTP using Mifepristrone (RU 486) & Misoprostol approved for up to 7 weeks termination Only an RMP (as defined by the MTP Act) can prescribe the drugs Has to follow MTP/


Abortion Complications. Global Abortion Statistics Approximately 50 million unintended pregnancies are terminated each year.Approximately 50 million unintended.

Bleeding and Infection.Bleeding and Infection. Exacerbation of asthma and hypertension.Exacerbation of asthma and hypertension. Lack of access to medical care, issues.Lack of access to medical care, issues. Surgical Abortion Complications Factors precipitating abortion complications:Factors precipitating abortion complications: Surgeons’ inexperience.Surgeons’ inexperience. Inadequate anesthesia.Inadequate anesthesia. Gross obesity.Gross obesity. Cervical anomalies and stenosis (infantile cx)Cervical/


Global Comprehensive Abortion Care Project (GCACP) SFPA work plan Year 2010 Variety Of Choices …Best Future خيـارات أوسـع... مسـتقبل أفضـل.

to conduct several meetings and campaigns to encourage using contraceptive methods to avoid unwanted pregnancy,the MA medical staff was trained during last period on dealing of unsafe abortion complications and to integrate this service in the MA clinics as one of RH component, Global Comprehensive Abortion Care Project (GCACP) SFPA work plan 2010 Variety Of Choices …Best Future خيـارات أوسـع... مسـتقبل أفضـل Summary: Based on the/


Safe Abortion Advocacy: an ongoing challenge Latin American Consortium Against Unsafe Abortion CLACAI MARIA Abortion Fund for Social Justice.

support to women by giving misoprostol information and phone support  We work in alliance with other women orgs and groups to decriminalize abortion in all the country, and work against abortion related stigma and stigma on self use of misoprostol Medical Abortion in Mexico  It is accessible, with the city’s law plenty of options came for women to by misoprostol at lower costs/


Contraception and Abortion. Contraception Majority of U.S. pregnancies are not planned and most are a result of not using contraception Contraception.

emergency situations Abdomen is opened to remove the fetus Similar to a cesarean section, with a 5-7 day hospital stay Hysterectomy – removal of the fetus and uterus Rarely used Medical Abortion Two drugs: Mifepristone (RU-486) Misoprostol Woman takes Mifepristone (RU-486); begins bleeding within 4-5 hours; the pill blocks the progesterone from building up the endometrium Within 3 days/


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