Management of side effects and complications in medical abortion.
Am J Obstet Gynecol
; 183(2 Suppl): S65-75, 2000 Aug.
Article
in En
| MEDLINE
| ID: mdl-10944371
ABSTRACT
Side effects are an expected part of medical abortion; some, such as pain and bleeding, result from the abortion process itself and are generally managed with orally administered analgesics and counseling. True medication side effects most commonly include nausea, vomiting, diarrhea, and warmth or chills. Complications of medical abortion usually represent an extreme or severe side effect. Large series have reported transfusion rates of <1%. Because of the infrequency of uterine instrumentation, postabortal endometritis appears to be rare with medical abortion. As with early surgical abortion, the clinician must remain aware of the possibility for ectopic pregnancy. Overall approximately 2% to 10% of patients will require surgical intervention for control of bleeding, resolution of incomplete expulsion, or termination of a continuing pregnancy. Understanding the types of side effects and complications that can occur will enable the clinician to counsel patients properly as well as to understand when medical intervention is necessary during the medical abortion process.
Key words
Abortion, Drug Induced--complications; Abortion, Drug Induced--side effects; Abortion, Induced; Americas; Biology; Developed Countries; Endocrine System; Family Planning; Fertility Control, Postconception; Hormone Antagonists; Hormones; Literature Review; Misoprostol; North America; Northern America; Physiology; Prostaglandins; Prostaglandins, Synthetic; Ru-486; Treatment; United States
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Obstetric Surgical Procedures
/
Abortifacient Agents
/
Abortion, Induced
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Am J Obstet Gynecol
Year:
2000
Document type:
Article
Affiliation country:
Estados Unidos