Chapter 25 Elective Termination of Pregnancy

Question 1

maternal morbidity is lowest if abortion is p[erformed before 8 weeks gestation

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Question 2

if gestational age is <6 weeks, verification of POC on pathology report is veyr important as embryo is so small at < 6 weeks,, d& c procedure may fail to evacuate it from the uterus.

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Question 3

nonsurgical abortion: mifepristone , utilized for terminations prior to 9 weeks of gestation.

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Question 4

mifeprixtone is a symthetic progesterone receptor antagonist that binds to progesterone receptors in the uterus, thus blocking the stimulatory effects of progesterone on endometrial growth.

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Question 5

mifepristone thereby disrupts pregnancy by making endometrial lining of unsuitable to sustain the pregnancy. , this leads to detachment of the embryo.

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Question 6

success rate of top is improved when mifeprix used with prostaglandin analog such as misoprostol (24-48 hrs later). 2 weeks later, success of completion is typically confirmed with ultrasound or serum bhcg.

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