Early abortion Update and implications for midwifery practice

Early medical termination pregnancy with methotrexate and misoprostol in lower segment cesarean section cases

“…Medical abortion using methotrexate and misoprostol and manual vacuum aspiration are two new methods for pregnancy termination during the first 8 weeks of gestation. Compared to standard surgical abortion, both methods allow women to avoid surgery, are more privately performed, and may be more easily accessible 9 . According to Goss, prior to 2000, an experimental protocol for non‐surgical abortion became available in the US.…”

Nurses and Care of Women Seeking Abortions, 1971 to 2011

“…The role definition of CNMs as determined by the American College of Nurse Midwives (ACNM) is addressed in 11 of the 14 articles (Abbott et al, ; Berer, ; Bewley, ; Foster et al, ; Hord & Delano, ; Joffe & Yanow, ; Kowalczyk, ; Summers, ; Kruse, ; Narrigan, ; Yarnall et al, ). In 1971 a consensus statement published by the ACNM prohibited CNMs from performing abortions; it was updated without change in 1990 (Summers).…”

“…Fourteen articles categorized under nonphysician clinicians providing abortion care or 24% were consistent with this heading (Abbott, Renovitch, & Barker, 1973;Berer, 2009;Bewley, 1993;Donovan, 1992;Foster et al, 2006;Hord & Delano, 1994;Hwang, Koyama, Taylor, Henderson, & Miller, 2005;Joffe & Yanow, 2010;Kowalczyk, 1993;Kruse, 2000;Narrigan, 1998;Samora & Leslie, 2007;Summers, 1992;Weitz, Anderson, & Taylor, 2009;Yarnall, Swica, & Winikoff, 2009). Several state laws identifying the provider of care have changed since Roe vs. Wade legalized abortion across the United States.…”

Ectopic pregnancy: triage do's and don'ts

“…It is a folinic acid antagonist and inhibits the use of folic acid by the cells. The synthesis of DNA is halted intracellularly, which causes death of rapidly growing cells, including trophoblastic tissue (41,47). Methotrexate has been used as a series of intramuscular injections on 4 alternating days for the treatment of ectopic pregnancy.…”