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Comprehensive Guide to Pregnancy Termination: Procedures and Considerations

Learn about the methods and complications of induced abortion, including medical and surgical procedures, counseling, and the role of healthcare providers in providing support and care. Explore the risks and considerations for maternal and fetal health during pregnancy termination.

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Comprehensive Guide to Pregnancy Termination: Procedures and Considerations

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  1. induced abortion

  2. -named pregnancy termination . • -two doctor at least should decide induced abortion when these are greater risk physically & mentally on mother & child , also there is risk of abnormality . • -termination prior to 24 weeks or before 20 weeks gestation . • -counseling includes social ,medical , & psychological aspect

  3. Methods of termination of pregnancy • -screening for STIs & give antibiotic . • -anti-D for RH –ve ,after termination . • -after termination check physical &contraceptive measures. • -12 % who need termination if does not given antibiotic can develop PID & c.trachomatis

  4. Surgical termination of pregnancy • Most common used in the 1st trimester • -use of dilator to open the cervix this called suction curette • -E&C in the second trimester under GA if 10 weeks or less under local anesthesia to decrease the incidence of hospitalization

  5. Medical termination of pregnancy : • -used after 14 weeks gestation instead of E&C • -progesterone antagonist { mifepristone}given orally then 36-48 hours orally or vaginal pessary ,success rate more than 35 %. • -in the second trimester : vaginal prostaglandin every 3 hours

  6. -extra amniotic infusion –{use of mifepristone through folly catheter fitted in the cervix, then do E&C to remove placenta, remember this procedure need to be client in single room ,with maintenance privacy ,& analgesia .this referred to legal abortion

  7. Complications of termination : • ** early complication: • Bleeding –uterine perforation –damage pelvic viscera –cervical laceration –retained product & sepsis-small failure rate • **late complications: • -infertility –cervical incompetence –isoimmunization –psychiatric disease

  8. NB; unsafe abortion one cause of maternal death which lead to septic abortion ( commonly illegal & used in non sterile technique psychological sequelae of termination : • ?-fatal abnormality • -?pregnancy wanted or not

  9. -?previous diagnosis of the problem • -feeling of distress & traumatic experience • -need support from Dr,midwife husband –family support .

  10. ** role of midwife • -primary caring of mother • -provide well care to mother • -prevent harm • -assist in blood test ,& amniocentesis • -give advice & necessary information . • -ready to care with her in case of emergency.

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