| Medical abortion in primary care: pitfalls and benefits. | |
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MedLine Citation:
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PMID: 20583695 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe five pitfalls of medical abortion: ectopic pregnancy not terminated after misoprostol, but without negative side-effects; long-term vaginal blood loss with suspicious retained products which disappeared spontaneously; a patient with uterus myomatatosus with severe pain and retained products in the uterus; repetition of misoprostol because of retained products in the uterus after two weeks and an allergic reaction to methotrexate. Despite these pitfalls, there are enough benefits to consider medical abortion with methotrexate and misoprostol as a safe method with a high success rate of more than 91% and a good alternative for surgical abortion. An invasive procedure is not necessary, there are no long-term complications and it can be performed at an earlier stage, which makes it more acceptable in society. In Curaçao, where abortion is legally restricted, medical abortion is performed with methotrexate and misoprostol. In countries where abortion is legal, mifepristone and misoprostol are the first choice. |
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Authors:
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A A Boersma; B Meyboom-de Jong |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The West Indian medical journal Volume: 58 ISSN: 0043-3144 ISO Abbreviation: West Indian Med J Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2010-06-29 Completed Date: 2010-09-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417410 Medline TA: West Indian Med J Country: Jamaica |
Other Details:
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Languages: eng Pagination: 610-3 Citation Subset: IM |
Affiliation:
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adrianaboersma@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents
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administration & dosage* Abortion, Induced / methods* Administration, Intravaginal Adult Dilatation and Curettage Female Humans Leiomyomatosis / complications, ultrasonography Misoprostol / administration & dosage* Pregnancy Pregnancy Complications, Neoplastic / ultrasonography Treatment Failure Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents; 59122-46-2/Misoprostol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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