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Medical termination of pregnancy
1.
2. 1. Mifepristone
2. Mifepristone
200 mg orally on day1
3. Methotrexate
50 mg/m2 IM
(before 56days of gestation)
Misoprostol
400µg orally or,
800 µg vaginally on day3
7days latter
Misoprostol
800 µg vaginally
3. Surgical—
1.Menstrual Regulation-it is the aspiration of endometrial
cavity within 14days of missed period in a woman with previous normal cycle
2.Vacuum aspiration (MVA/EVA)-upto
12wk
3.Suction Evacuation and/or curettage-not
suitable of >10wk size uterus
4.Dilatation and Evacuation (i) Rapid
method (ii) Slow method
5. Between 13-15wk Dilatation and ecacuation with cervical
preparation(mifepristone or misoporstole)
Between 16-20 Intrauterine installation of hypertonic saline
*intra-amniotic * Extra-amniotic
Extra-amniotic: done transcervically
0.1%ethacryine lactate with Foleys cathether
10 ml/wk
Hysterotomy Prior failed MTP,D&E can’t be done, fibroid in LUS,
uterine anomalies, repeated scared uterus with placenta
accreta or percreta
In Rh –ve women after abortion IM ant-D ig within
72hr of abortion