Medication abortion.
Medical methods for pregnancy termination in early gestation offer women an alternative to surgical evacuation and have the potential to improve access globally to safe abortion. Several drug regimens are used with varying efficacy including mifepristone plus misoprostol, misoprostol alone, and methotrexate plus misoprostol. Where available, a mifepristone plus misoprostol regimen is most frequently used and is highly effective for early abortion. We review these drug regimens along with clinical practice recommendations including patient counseling and selection, regimen administration location, expected side effects, and follow-up procedures. Overall, women who choose medical abortion report high levels of satisfaction.
Bartz
Deborah
D
Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Brigham and Women's Hospital, Planned Parenthood League of Massachusetts, Boston, Massachusetts, USA. dbartz@partners.org
Goldberg
Alisa
A
D000020:Abortifacient Agents, Nonsteroidal / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D000028:Abortion, Induced; D003376:Counseling; D004107:Dilatation and Curettage; D017277:Drug Approval / Q000706:statistics & numerical data; D005260:Female; D014943:Global Health; D006801:Humans; D015735:Mifepristone / Q000494:pharmacology / Q000627:therapeutic use*; D016595:Misoprostol / Q000494:pharmacology / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care; D018579:Patient Selection; D011247:Pregnancy
D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol; D015735:Mifepristone