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Medical Abortion
PB 225 - Medical Abortion up to 70 Days of Gestation
Question | Answer |
---|---|
Gestational cutoff for medical abortion | 10 weeks |
Misoprostol dose | 800 mcg buccally/sublingually/vaginally q 3hrs for a max of 3 doses |
Mifepristone dose | 200 mg |
Class of drug for Mifepristone | selective progesterone receptor modulator with net "anti-progesterone" effect |
Class of drug for Misoprostol | prostaglandin analogue |
Contraindications for medical abortion | ectopic, IUD, long term steroid use, coagulopathy, unable to follow up, inherited porphyria, allergy to meds |
Risk to pregnancy if medication abortion fails | congenital anomalies |
Percent of medical abortions that need emergency intervention for bleeding | <1% |
minimal post-abortion follow-up | 1 wk telephone f/u with home UPT4 wks late |
Contraception options post abortion | all options can be started at the time of mifepristone except IUD which can be started abortion completed |