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Medical termination of pregnancy
‘the indian act permits the wilful termination of pregnancy before the age of fetal viability (20-weeks of gestation) for well defined indications.
It has to be performed by recognised medical practitoners in a recognised place approved by the competent authority under the act’
Menstrual regulation
Complications*
Incomplete evacuationHemorrhageCervical laceration,perforation
infection
Vacuum evacuationDisadvantageIf attempted curettage*
perforation, synachiae(Asherman syndrome)
placenta accreta
mifepristoneMOA-Compete with Pg receptors
-reduce endometrial glandular activity
-accelerates degenerative changes
-increase stromal action
mifepristone
• ProtocolWritten consent for MTP
Blood group RH ,Hb % urine
USG – uterine pregnancy & duration
mifepristone
Contraindications
o IUCD insituo Suspected ectopico On anticoagulanto Previous scaro Lactating womeno After 63 days
mifeprostol
• ComplicationsAdrenal failure
Möbius syndrome in fetus
Longer time for termination
Vomiting*