7. MEDICATION ABORTION

 

Medication abortion (medical abortion, or MAB) provides a safe, effective alternative to aspiration abortion. It can be offered in diverse settings without special equipment. Since the process allows for significant patient autonomy, appropriate counseling and follow-up are essential.

 

CHAPTER LEARNING OBJECTIVES

 

At the end of this chapter you should be better able to:

  • Evaluate patients prior to medication abortion, including:
    • Eligibility and preparedness for medication abortion
    • Pertinent medical history and physical exam
    • Laboratory evaluation and sonogram as needed
  • Describe differences between various regimens
  • Counsel patients effectively throughout the process:
    • Address the range of what to expect during medication abortion
    • Provide resources and coping skills for managing expected side effects
    • Explain the difference between expected side effects and complications
    • Review the indications for intervention with uterine aspiration
  • Assess for success of medication abortion
  • Assess and manage common complications

 

READING / RESOURCES