PHAR 451 Lecture Notes - Lecture 4: Vacuum Aspiration, Cyp3A4, Intrauterine Device
2 Oct 2016
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~30% of women have an abortion by age 45 89. 4% of abortions in canada happen at the gestational age of 0-12 weeks. Full hospital coverage in bc, ab, on, and qc (other provinces = complex and uneven coverage) In a non-profit clinic: contraception provided at cost. Abortion clinics medical, surgical, fetal indications. 4 in vancouver, 1 in victoria, 1 in kelowna. Contraception & sexual health clinics give referrals. 1st trimester abortions pose no risk of infertility, ectopic pregnancy, miscarriage, birth defect, preterm/low weight deliver, mental health problems in adults or adolescents. Future fertility after an induced abortion is similar to that after a miscarriage at the same gestation. Two one for rx, one for follow-up. Abortion usually within 24 hrs of misoprostol (~3-4 days) Outpatient setting: can include abortions performed under local/general anesthesia. In reproductive health care clinics, clinician offices, hospital daycare clinics. Inpatient setting: when severe medical/psychiatric conditions require complex intraoperative monitoring.
