February 27, 2014

Induced abortion or termination of pregnancy

Induction of abortion -
Deliberate termination of pregnancy before the viability of the fetus is called induction of abortion. The induced abortion may be legal or illegal (criminal). There are many countries in the globe where the abortion is not yet legalized.

Indications -
- Maternal disease such as heart disease, severe hypertension etc.
- Pregnancy caused by rape.
- Contraceptive failure pregnancy.
- Poor multiple with unplanned pregnancy.
- Eugenic indication such as down syndrome.
- Pregnancy caused as a result of failure of a contraceptive.

Methods of termination of pregnancy -

First trimester (upto 12 weeks) :-
Surgical -

  • Manual vacuum aspiration
  • Suction evacuation and/or curettage
  • Dilatation and evacuation

Medical -

  • Mifepristone
  • Mifepristone and Misoprostal
  • Methotrexate and Misoprostol


Second trimester (13-20 weeks) :-

  • Dilatation and Evacuation
  • Intrauterine instillation of  hyperosmotic solutions
  • Prostaglandins
  • Oxytocin infusion
  • Hysterotomy - less commonly done.

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