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Medication Abortion In Early Pregnancy PowerPoint Presentation

worldwideweb By : worldwideweb

On : Aug 07, 2014

In : Health & Wellness

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  • Slide 1 - Medication Abortion In Early Pregnancy Induced termination of early intrauterine pregnancy using medications
  • Slide 2 - 6.4 Million Pregnancies/Year in the U.S. 51% Intended 24% Unintended Used Contraception 25 % Unintended Used No Contraception Finer, 2006 (2002 data)
  • Slide 3 - Unintended pregnancy rate: by race/ethnicity/income Unintended pregnancies per 1,000 women Finer, 2006
  • Slide 4 - Outcomes of Unintended Pregnancies (Approximately 3.1 Million Annually) Finer, 2006 (2002 data) % of unintended pregnancies
  • Slide 5 - 89% of abortions occur in the first 12 weeks of pregnancy Under 9 weeks 9-10 weeks 11-12 weeks Guttmacher Institute, 2004 data
  • Slide 6 - Abortion Access 87% of counties have no abortion provider 35% of women live in these counties 25% of women travel > 50 miles to find provider Source: Jones et al., 2008; Kaiser Family Foundation % of Women in Counties with No Abortion Provider
  • Slide 7 - Primary care shortage areas: with and without family physicians Graham Center, 2000
  • Slide 8 - Abortion in Family Medicine: Training Issues
  • Slide 9 - Could training family physicians in medication abortion make a difference?
  • Slide 10 - Abortion in Family Medicine: Implementation Issues
  • Slide 11 - Wanted versus unwanted pregnancy: consequences
  • Slide 12 - Medication & Aspiration Abortion: both safe and effective
  • Slide 13 - Safety of Abortion First trimester abortions DO NOT increase risk of: Infertility Ectopic pregnancy Miscarriage Birth defect Preterm or low-birth-weight delivery Sources: Boonstra, 2006 Virk, J et al, NEJM, 2007
  • Slide 14 - Medication Abortion Regimens: Three Choices Mifepristone + Misoprostol Methotrexate + Misoprostol Misoprostol alone
  • Slide 15 - Most common med abortion regimen in US: Mifepristone/Misoprostol
  • Slide 16 - Medication Abortion: Advantages 95-99% effective Avoids surgical and anesthetic risk Greater patient autonomy & privacy Less invasive More “natural”
  • Slide 17 - Aspiration Abortion: Advantages Slightly more effective (about 99%) Shorter time to completion Shorter bleeding duration Can be performed later in gestation
  • Slide 18 - Mifepristone-Misoprostol Regimens
  • Slide 19 - Cervical Ripening MIFEPRISTONE Causes progesterone blockade Decidual Necrosis Detachment MISOPROSTOL Causes uterine cramping & expulsion
  • Slide 20 - Misoprostol
  • Slide 21 - Yolanda 22 years old Requests a pregnancy test
  • Slide 22 - Counseling issues Review all options Assure that decision is hers
  • Slide 23 - Establish gestational age
  • Slide 24 - Rule out contraindications Allergy to meds Adrenal insufficiency Current steroid use Coagulopathy or anticoagulant use IUD in place No access to follow-up
  • Slide 25 - Indications for sonography
  • Slide 26 - Yolanda Gestational age: 6 weeks
  • Slide 27 - Patient agreement
  • Slide 28 - Yolanda takes mifepristone in your office
  • Slide 29 - At home: Yolanda takes pain medication, then misoprostol
  • Slide 30 - Follow-up visit 4 - 14 days later Assure completion Process experience Review contraceptive choice
  • Slide 31 - Phone calls after medication abortion
  • Slide 32 - Clostridium sordellii 6 deaths in North America due to toxic shock with Clostridium following medication abortion Similar deaths, however, also seen following miscarriage, childbirth, trauma, & surgery CDC: no causal link between medications and these incidents Source: CDC 2006, FDA 2006
  • Slide 33 - Methotrexate + Misoprostol medication abortion
  • Slide 34 - Misoprostol-only medication abortion 800 mcg vaginally > 1 dose may be needed
  • Slide 35 - Conclusion From pregnancy diagnosis through week nine, medication abortion is safe and effective. As its success depends on accessibility and counseling, medication abortion is well suited to the family medicine home.
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Description : Available Medication Abortion In Early Pregnancy powerpoint presentation for free download which is uploaded by steve an active user in belonging ppt presentation Health & Wellness category.

Tags : abortion | abortion crime | abortion is crime | fetus killing | social issue | medication abortion In early pregnancy

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