induced abortion

Question 1

What is the most common method used for induced abortion before 13 weeks’ gestation?

Answer 1

Dilation and curettage (D&C)

Complications include endometritis (which may require outpatient antibiotic treatment) and retained products of conception (which may require repeat curettage).

Question 2

What are the complications associated with dilation and curettage (D&C)?

Answer 2

Endometritis and retained products of conception

Endometritis may require outpatient antibiotic treatment. Retained products of conception may necessitate repeat curettage.

Question 3

What are the medical abortion methods used within the first 63 days of amenorrhea?

Answer 3

Mifepristone and misoprostol

Mifepristone is a progesterone antagonist that blocks progesterone, leading to uterine contraction, while misoprostol is a prostaglandin E1 analog that further induces uterine contractions.

Question 4

What is the rare complication of medical abortion with mifepristone and misoprostol?

Answer 4

Incomplete abortion

Incomplete abortion may require dilation and curettage (D&C) to complete the abortion process.

Question 5

What serious infection is associated with medical abortion?

Answer 5

Clostridium sordellii sepsis

Clostridium sordellii sepsis is associated with rapid onset of shock, organ failure, and death, requiring immediate medical attention.