HSS 2321 Lecture Notes - Lecture 12: Sublingual Administration, Ectopic Pregnancy, Curettage

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Overview of abortion worldwide: approximately 44 million abortions occur each year. 86% in developing countries, and 14% in developed countries: each year 20 million abortions occur in settings where abortion is prohibited or legally restricted. Consequences of unsafe abortion: 95% of unsafe abortions take place in developing countries, unsafe abortion results in approximately 13% of all pregnancy-related deaths, 97% of abortions in africa are de ned as unsafe. Methods of first trimester abortion: aspiration abortion: Electric vacuum aspiration (eva: aspiration procedure: cannula is inserted into the uterus, uterine contents are emptied through suction. Aspiration can be used throughout the rst trimester and is highly effective (>99%) in terminating pregnancy. 3 doses (800 mcg each), 3 to 12 hours apart administered vaginally, sublingually, or buccally.

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