Name:RicaFeli
zar
doLiban.Sect
ion:
Gr ade12Laur
el.Dat
e:Oct
ober27,
2021
Resear
cht opi
c:ABORTION
Resear
cht i
tl
e:Under
standi
ngtheEffectsoft
heAborti
on
Backgr oundoft hest udy
Abor ti
oni st het erminat i
onofapr egnancybyr emov alorexpulsionofanembr y
oor
fetus.[
not e1]Anabor tiont hatoccur swi t
houti nterventi
onisknownasami scarr
iage
or " spont aneous abor ti
on" and occur s in appr oximately 30% t o 40% of
pregnanci es.[1][2]Whendel i
beratestepsar et akent oendapr egnancy,i
tiscall
edan
i
nducedabor tion,orl essf requently"inducedmi scarr
iage".Theunmodi f
iedwor d
abortiongener al l
yrefer stoani nducedabor tion.WhatI sAbor t
ionAccordingtoWHO?
Medi cal Edit
or :JohnP.Cunha, DO,FACOEP
Medi callyRev iewedon8/ 27/ 2021
InducedAbor ti
onMet hodsWhatI sAbor tionAccor di
ngt oWHO?Topi cGuide
Abor ti
ondef initionscanv ar
y .Accordingt ot heWor l
dHeal thOr gani
zati
on( WHO),
abortioni sdef inedasapr egnancyt erminationpr iorto20weeks' gestati
on.
Abor ti
ondef initionscanv ar
y .Accordingt ot heWor l
dHeal thOr gani
zati
on( WHO),
abortioni sdef inedasapr egnancyt erminationpr iorto20weeks' gestati
on.
Def i
niti
onsofabor t
ioncanv aryandt hereisof tencont roversydefini
ngwhatabor t
ion
means.Thedef i
niti
onsofabor ti
onof tenr efl
ectnotj ustscienti
ficknowledge,but
social andpol iticalopi nions.
TheWorl
dHealthOr ganizat
ion(
WHO)def
inesabor
ti
onaspr
egnancyt
ermi
nat
ion
pri
ort
o20weeks'gestat
ion.
General
ly
,abort
ioni
satermt hatref
erst
ot heterminat
ionofapregnancy,whetheri
t
occurswithmedicali
nter
ventionsuchasmedi cati
onsorsurgicalprocedur
esor
whetheri
toccursoni
tsown,suchasami scarr
iage.
Spont
aneousabor
ti
onisanothert
ermformiscar
riage,whichref
erstoapr
egnancy
l
ossthatoccur
sbefor
et he20thweekofgestat
ionort heexpul
sionanembry
oor
fet
usweighi
ng500gorless.
TheCent ersf orDiseaseCont r
ol(CDC)def inesal egallyinducedabor ti
on“ asan
i
nterventi
onper f
ormedbyal icensedcli
nici
an( e.g.
,aphy si
cian, nurse-
midwi f
e,nurse
pract
iti
oner,physi
cianassistant)wit
hintheli
mi tsofstat
er egulat i
onsthatisintended
toter
mi nateasuspect edorknownongoi ngintraut
eri
nepr egnancyandt hatdoesnot
resul
tinal i
vebirt
h.”.Becauseoft hi
s,somewomenmayneedt or esear
chmor ethan
other
saboutt hefami l
yplanningoptionsavailablei
ntheirgeogr aphicregions.
WhatAr e Met
hods ofInduced Abort
ion?
The met
hods used t
oinduce abor
ti
on
dependonthestageoft
hepregnancyal
ongwit
hotherf
act
ors.
Medi cat ion-inducedabor ti
onmet hod
Canbeper formedi near lypr egnancy ,
upt o7t o9weeksgest ation
“Theabor ti
onpi ll
”r eferst ouseoft womedi cinest oendapr egnancy :
Mi fepr istonei st aken f i
rstt o blockpr ogest eroneand st op t hepr egnancyf rom
growi ng
Mi sopr ostol ist akenei therrightawayorupt o48hour slater,whi chcausescr ampi ng
andbl eedi ngt oempt yt heut erus
Suct ioncur et tage( aspiration)
Canbeper formedi near lypr egnancy ,
6t o14weeksgest ati
on
Thecer vixi sdi latedandt ubeat tachedt oasuct i
onmachi nei sinsert
edi ntot he
uter ust oempt yitbysuct i
on
Aftert hat ,at oolcal l
eda“ cur ett
e”i susedt oscr apet hewal loft heuterustor emov es
anypr oduct sofpr egnancy( fetusandaf terbirth)t hatremain
Dilationandev acuat ion
Canbeper formedi near lypr egnancy ,
12t o24weeksgest ation
Themostcommonmet hodusedaf ter12weeksofpr egnancy
Thecer vixissl owl yst r
et chedandopenedov eraper iodofhour s
Onceopened,t ool sandsuct i
ont ubesar ei nsertedi nt
ot heut erust oremov et he
product sofpr egnancy
Induct i
onofl abor
Per for medi nadv ancedpr egnancyandusual lydonei nahospi tal
Thecer vixissl owl yst r
et chedandopenedov eraper iodofhour s
Oncet hecer v ixissof t
ened, labori sinduced, oftenbyi nj
ect i
ngmedi cinethrought he
abdomi nal andut erinewal l
si ntot heamni oticsac
Mostwomenwhoar ei nduceddel iverin10t o20hour s
Hy st erotomy / cesar eandel ivery
Per for medi nadv ancedpr egnancy—af ter24weeksgest ation
Usedi nr arecaseswheni nduct ionf ailsorcannotbeused,asur gicalmet hod,a
hyst er otomyi sper formedt ocutopent heut erus
Thepr ocedur ei ssi mi l
art oaCesar eandel iver y
