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Chapter 39 - Termination of Pregnancy at Different Gestational Phases

from Section 2B - Sexual and Reproductive Healthcare: Termination of Pregnancy

Published online by Cambridge University Press:  16 January 2024

By
John J. Reynolds-Wright  and
Sharon T. Cameron
Edited by
Johannes Bitzer  and
Tahir A. Mahmood
Johannes Bitzer
Affiliation:
University Women's Hospital, Basel
Tahir A. Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
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Summary

Compassionate, non-judgemental abortion care should be provided to women seeking to end a pregnancy at the earliest gestation as possible and as late as necessary. Laws that prohibit abortion do not prevent abortion, but merely result in more unsafe abortions [1]. The legal requirements to access abortion vary significantly across Europe, and it is important for clinicians to be aware of their own country’s regulations but also those of their close neighbours, as it is common for women who live in areas of greater restriction to travel to nearby countries with less restrictive legislation.

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Chapter
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Textbook of Contraception, Sexual and Reproductive Health , pp. 239 - 242
Publisher: Cambridge University Press
Print publication year: 2024

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References

Singh, S, Remez, L, Sedgh, G, Kwok, L, Onda, T. Abortion worldwide 2017: Uneven progress and unequal access. Vol. 2019. New York: Guttmacher Institute, 2018. www.guttmacher.org/report/abortion-worldwide-2017.CrossRefGoogle Scholar
World Health Organization. Expanding health worker roles for safe abortion in the first trimester of pregnancy. Geneva: World Health Organization, 2019. Report No.: WHO/RHR/16.02. https://bit.ly/3XTKt5U.Google Scholar
World Health Organization. Medical management of abortion. Geneva: World Health Organization, 2018.Google Scholar
Avraham, S, Gat, I, Duvdevani, N-R et al. Pre-emptive effect of ibuprofen versus placebo on pain relief and success rates of medical abortion: A double-blind, randomized, controlled study. Fertil Steril. 2012;97(3):612–15. https://bit.ly/3HTInhC.CrossRefGoogle ScholarPubMed
Livshits, A, Machtinger, R, David, LB et al. Ibuprofen and paracetamol for pain relief during medical abortion: A double-blind randomized controlled study. Fertil Steril. 2009;91(5):1877–80. https://bit.ly/3wWhSla.CrossRefGoogle ScholarPubMed
Hamoda, H, Ashok, PW, Flett, GMM, Templeton, A. A randomised controlled trial of mifepristone in combination with misoprostol administered sublingually or vaginally for medical abortion up to 13 weeks of gestation. BJOG 2005;112(8):1102–8. https://doi.org/10.1111/j.1471-0528.2005.00638.x.CrossRefGoogle ScholarPubMed
Faúndes, A, Fiala, C, Tang, OS, Velasco, A. Misoprostol for the termination of pregnancy up to 12 completed weeks of pregnancy. Int J Gynecol & Obstet. 2007;99:S172–7. www.sciencedirect.com/science/article/pii/S0020729207005097.CrossRefGoogle ScholarPubMed
Tang, OS, Schweer, H, Lee, SWH, Ho, PC. Pharmacokinetics of repeated doses of misoprostol. Hum Reprod. 2009;24(8):1862–9. https://doi.org/10.1093/humrep/dep108.CrossRefGoogle ScholarPubMed
Fiala, C, Swahn, ML, Stephansson, O, Gemzell-Danielsson, K. The effect of non-steroidal anti-inflammatory drugs on medical abortion with mifepristone and misoprostol at 13–22 weeks gestation. Hum Reprod. 2005;20(11):3072–7. www.ncbi.nlm.nih.gov/pubmed/16055455.CrossRefGoogle ScholarPubMed
Jackson, E, Kapp, N. Pain control in first-trimester and second-trimester medical termination of pregnancy: A systematic review. Contraception. 2011;83(2):116–26. https://bit.ly/3wUEnHe.CrossRefGoogle ScholarPubMed
Pasquini, L, Pontello, V, Kumar, S. Intracardiac injection of potassium chloride as method for feticide: Experience from a single UK tertiary centre. BJOG: An International Journal of Obstetrics & Gynaecology 2008;115(4):528–31. https://doi.org/10.1111/j.1471-0528.2007.01639.x.CrossRefGoogle ScholarPubMed
Molaei, M, Jones, HE, Weiselberg, T et al. Effectiveness and safety of digoxin to induce fetal demise prior to second-trimester abortion. Contraception. 2008;77(3):223–5. www.sciencedirect.com/science/article/pii/S0010782407005112.CrossRefGoogle ScholarPubMed
Sharvit, M, Klein, Z, Silber, M et al. Intra-amniotic digoxin for feticide between 21 and 30 weeks of gestation: A prospective study. BJOG: An International Journal of Obstetrics & Gynaecology. 2019;126(7):885–9. https://doi.org/10.1111/1471-0528.15640.CrossRefGoogle ScholarPubMed
Faculty of Sexual and Reproductive Healthcare. Contraception after pregnancy. 2017. https://bit.ly/3DFyBwT.Google Scholar
World Health Organization. Preventing unsafe abortion. 2019. http://bit.ly/3kh4R37.Google Scholar
Sääv, I, Kopp Kallner, H, Fiala, C, Gemzell-Danielsson, K. Sublingual versus vaginal misoprostol for cervical dilatation 1 or 3 h prior to surgical abortion: A double-blinded RCT. Hum Reprod. 2015;30(6):1314–22. www.ncbi.nlm.nih.gov/pubmed/25840429.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence. Abortion care. NG140 ed. 2019. www.nice.org.uk/guidance/NG140.Google Scholar

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