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Updated: Mar 6 2020

Induced Abortion

  • Introduction
    • Overview
      • induced abortion can be performed with a surgical procedure or via medication
        • dilation and curettage (D&C)
        • medical abortion
          • mifepristone
          • misoprostol
      • complication rates are higher with more advanced gestations
    • Legal issues
      • during the first trimester, women can undergo elective abortion
      • during the second and third trimester, laws vary by state regarding legality of elective abortion
      • the biological father does not need to be consented for an elective abortion
  • Dilation and Curettage (D&C)
    • Dilation and curettage (D&C)
      • surgical procedure to evacuate uterine contents
      • indications
        • retained products of conception after an abortion
        • elective first trimester abortion
        • molar pregnancy
        • diagnostic to evaluate abnormal uterine bleeding
      • contraindications
        • acute pelvic infection
        • coagulopathy
    • Complications
      • endometritis
      • retained products, requiring repeat curettage
  • Medical Abortion
    • Medical abortion
      • common agents
        • oral mifepristone, a progesterone antagonist
        • oral misoprostol, a prostaglandin E1
    • Complications
      • 2% are incomplete and require D&C
      • endometritis
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