Medical abortion in primary care

Over the last decade, this topic became very controversial based on religion, public opinions and government guidelines. According to Australian group of scientist, early medical abortion is a safe, cost effective and acceptable alternative to surgical procedure, offering privacy and autonomy. It can be induced up to nine weeks of gestation with a combination of 2 drugs: mifepristone and misoprostol. Relative advantages of medical and surgical abortion are well described in the original article (link provided). Special precautions should be taken before the procedure, including confirmation of an intrauterine pregnancy and medical history for anaemia, heart or renal diseases. The regimen consists of 2 steps within 48h and an obligatory follow up at 3 days and 2-3 weeks. Complications are uncommon, however it is important to recognize and manage those appropriately.

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