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What people need to know about abortions?

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What people need to know about abortions?
What people need to know about abortions? An abortion is a termination of a pregnancy at a certain amount of weeks. People will learn what an abortions. There is two different kinds of abortions. Everyone will know what the complications are that come with a TOP. The side effects and if there is any long term complications after the procedure is done. In this paper everyone will learn everything that they need to know about abortions by the time they read the whole paper. The two methods of termination is either surgical or medical TOP. A medical TOP involves oral mifepristone, a progestin antagonist which sensitises the myometrium to prostaglandin induced contractions and ripens the cervix, followed by misoprostol, a synthetic prostaglandin analogue, orally and or vaginally, which causes uterine contractions and cervical dilatation. The addition of the progesterone antagonist reduces the induction to abortion interval, analgesia required and prostaglandin dose(Farquhar et al. 2009 pg.1). A surgical termination consists of prior dilapan rod insertion and misoprostol priming to dilate and soften the cervix, followed by D&E under local or general anesthetic. Dilapan rods are hydrophilic polymer rods which work by absorbing fluid and slowly expanding, therefore causing cervical dilatation(Farquhar et al. 2009 pg1).The protocol used for medical TOP was as follows: 600 mg mifepristone orally, admission to gynecology ward 36-48 hours later, 800 micrograms misoprostol vaginally then 400 micrograms misoprostol orally at three hourly intervals, with a maximum of four oral doses. If significant bleeding occurred prior to planned admission, admission occurred at that time and the misoprostol regimen commenced. Manual removal of the placenta was recommended after delivery if the placenta did not deliver spontaneously. Pain relief was offered at regular intervals during the procedure according to a protocol that included morphine or pethidine given intravenously, in women


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