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PB 225 - Medical Abortion up to 70 Days of Gestation

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