No. 360-Induced Abortion: Surgical Abortion and Second Trimester Medical Methods

Costescu, Dustin; Guilbert, Édith

doi:10.1016/j.jogc.2017.12.010

Cited by 37 publications

(46 citation statements)

References 338 publications

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“…Initiating on a Sunday allows for a withdrawal bleed to occur on a Monday, assuming a seven-day hormone-free interval (HFI). CHCs, injectable progestins, or contraceptive implants may be started immediately after a surgical or medical pregnancy termination (47). An IUC can be inserted immediately after first or second trimester abortion.…”

Section: Starting Contraceptionmentioning

confidence: 99%

Contraception for Adolescents

Todd¹,

Black²

2020

Jcrpe

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Although pregnancy and abortion rates have declined in adolescents, unintended pregnancies remain unacceptably high in this age group. The use of highly effective methods of contraception is one of the pillars of unintended pregnancy prevention and requires a shared decision making process within a rights based framework. Adolescents are eligible to use any method of contraception and long-acting reversible contraceptives, which are "forgettable" and highly effective, may be particularly suited for many adolescents. Contraceptive methods may have additional non-contraceptive benefits that address other needs or concerns of the adolescent. Dual method use should be encouraged among adolescents for the prevention of both unintended pregnancies and sexually transmitted infections. Health care providers have an important role to play in ensuring that adolescents have access to high quality and non-judgmental reproductive health care services and contraceptive methods in adolescent-friendly settings that recognize the unique biopsychosocial needs of the adolescent. Abstract 28

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Section: Starting Contraceptionmentioning

confidence: 99%

Contraception for Adolescents

Todd¹,

Black²

2020

Jcrpe

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“…47 Combined and progestin-only hormonal contraception can also be initiated immediately following surgery. 48 • There is no abortion law in Canada, 17,49 but the procedure is governed by provincial medical regulations, such as those related to gestational limits. All fees for surgical abortion are covered under provincial health plans for residents.…”

Section: Abortion: Medical and Surgical Optionsmentioning

confidence: 99%

“… 47 Combined and progestin-only hormonal contraception can also be initiated immediately following surgery. 48 …”

Section: Abortion: Medical and Surgical Optionsmentioning

confidence: 99%

“Now what?!” A practice tool for pharmacist-driven options counselling for unintended pregnancy

2021

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“…Termination of pregnancy in a patient with a large uterine leiomyomata poses significant challenges to clinicians. A leiomyoma itself is not considered a contraindication for either medical or surgical abortion [1][2][3]. However, theoretically, it reduces myometrial contractility by weakening the uterine contractile force and impairing the expulsive mechanism [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…1 Dilapan®-S (synthetic osmotic cervical dilator; Gel-Med International, Kamenne Zehrovice, Czech Republic) 2. No information available.…”

mentioning

confidence: 99%

Medical Abortion of a First-Trimester Pregnancy with Large Multiple Uterine Leiomyomata

Santibenchakul

Jaisamrarn

2021

Case Reports in Obstetrics and Gynecology

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Introduction. Termination of pregnancy in a patient with huge uterine leiomyomata poses significant challenges to clinicians. In this study, we report the successful termination of pregnancy in a patient with large multiple uterine leiomyomata using a combined regimen of drugs for medical abortion. Case. A 42-year-old woman, 6 weeks pregnant, presented to the Family Planning Clinic with an unintended pregnancy. She had a large, irregular abdominal midline mass, equivalent in size to 30-32 weeks of pregnancy. Abdominal and transvaginal ultrasound examinations revealed a small intrauterine gestational sac with a yolk sac and multiple large uterine leiomyomata. Treatment with mifepristone (200 mg) was initiated at the clinic. In addition, she was instructed to sublingually take 800 μg of misoprostol after 24–48 h. Two weeks later, at the follow-up visit, the patient complained of continued light bleeding. A pelvic examination showed that her cervix was dilated by 1 cm. In addition, abdominal and transvaginal ultrasound revealed a thick, inhomogeneous endometrium. Owing to light bleeding and no anemia or infection, the patient received two additional doses of 800 μg misoprostol vaginally. Her bleeding subsided for 61 days, and she resumed her normal menstrual cycle. Conclusion. A first-trimester pregnancy with large multiple uterine leiomyomata can be safely terminated using a combination regimen of drugs for medical abortion. However, an additional dose of misoprostol is required for the successful termination of pregnancy.

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No. 360-Induced Abortion: Surgical Abortion and Second Trimester Medical Methods

Cited by 37 publications

References 338 publications

Contraception for Adolescents

Contraception for Adolescents

“Now what?!” A practice tool for pharmacist-driven options counselling for unintended pregnancy

Medical Abortion of a First-Trimester Pregnancy with Large Multiple Uterine Leiomyomata

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