Practice Bulletin No. 143: Medical Management of First-Trimester Abortion

  title={Practice Bulletin No. 143: Medical Management of First-Trimester Abortion},
  journal={Obstetrics \& Gynecology},
  • Published 2014
  • Medicine
  • Obstetrics & Gynecology
Over the past three decades, medical methods of abortion have been developed throughout the world and are now a standard method of providing abortion care in the United States. Medical abortion, which involves the use of medications rather than a surgical procedure to induce an abortion, is an option for women who wish to terminate a first-trimester pregnancy. Although the method is most commonly used up to 63 days of gestation (calculated from the first day of the last menstrual period), the… Expand
41 Citations

Paper Mentions

Interventional Clinical Trial
This study evaluates dextromethorphan as a non-opioid adjunctive medication for pain control during medication abortion. This is double-blinded, four-arm randomized controlled trial… Expand
ConditionsAbortion in First Trimester
Interventional Clinical Trial
The investigator will perform a multicenter, randomized controlled trial in practices that routinely use transvaginal sonography (TVS) to compare how often clinicians order additional… Expand
ConditionsAbortion Early
Medication to Manage Abortion and Miscarriage
Clinical considerations and resources for integrating mifepristone and misoprostol into clinical practice are discussed, and clinicians can expand access to time-sensitive health services for vulnerable populations. Expand
First trimester termination of pregnancy.
  • M. Lui, Pak-Chung Ho
  • Medicine
  • Best practice & research. Clinical obstetrics & gynaecology
  • 2019
There was no lower limit of gestational week for TOP, although extra precaution is required for the confirmation of completion of procedures and exclusion of ectopic pregnancy. Expand
Could second-trimester medical abortion be offered as a day service? Assessing the feasibility of a 1-day outpatient procedure using pooled data from six clinical studies.
The findings support the provision of second-trimester medical abortion in a day-clinic setting, especially at ≤18 weeks' gestation, and developing guidelines for a 1-day model could increase access to quality care in many settings worldwide. Expand
Comparison between Medical and Surgical Treatment of Incomplete First Trimester Abortion
Introduction: Women with an incomplete, inevitable, or missed abortion predictable by ultrasound imaging, can be controlled, medically, surgically or expectantly. Using of medical and surgicalExpand
Experiences in the use of misoprostol in the management of first trimester missed abortion in a low resource setting
Misoprostol is very effective in the management of first trimester missed abortion in the authors' setting and should be the treatment method of first choice. Expand
Self-managed abortion.
The safest environment for self-managed abortion (SMA) is one where accurate information is available, medical care is accessible when needed, and all methods of abortion remain legal. Expand
Serum β-hCG concentration is a predictive factor for successful early medical abortion with vaginal misoprostol within 24 hours
Misoprostol monotherapy has a high success rate for first trimester abortion and women with serum β-hCG less than 40,000 mIU/mL are likely to achieve a successful abortion within 24 hours after intravaginal administration of misoprostols. Expand
Comparison of Using Misoprostol withor without Letrozole in Abortion Induction:A Placebo-Controlled Clinical Trial
A prospective double-blinded, randomized, placebo-controlled trial on the use of letrozole pretreatment with misoprostol for second-trimester medical abortion and Evaluation of effect of let rozole prior to misop frostol in comparison with misOProstol alone in success rate of induced abortion are studied. Expand
Introducing medication abortion into public sector facilities in KwaZulu-Natal, South Africa: an operations research study.
Mifepristone-misoprostol medication abortion was successfully integrated into public sector surgical abortion services in South Africa and was chosen by a large majority of women who were eligible and offered choice of early termination method; access to medication abortion should be expanded inSouth Africa and other similar settings. Expand
Options for women with unintended pregnancy.
Family physicians should not broker adoptions, match potential parents with mothers, or adopt children of their own patients. Expand