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Obstet Gynecol. 2010 May;115(5):962-8. doi: 10.1097/AOG.0b013e3181da0c3e.

Medical abortion at 63 to 90 days of gestation.

Author information

1
Department of Obstetrics and Gynecology, Haukeland University Hospital University of Bergen, Bergen, Norway. lokeland@gmail.com

Abstract

OBJECTIVE:

To evaluate medical abortion as a treatment alternative for late first-trimester abortions and to evaluate the decrease in beta-hCG after abortion at 63-90 days of gestation.

METHODS:

All women received mifepristone 200 mg orally, followed by 800 micrograms misoprostol vaginally 48 hours later. Misoprostol was repeated every 3 hours orally, to a maximum of five doses if needed. A clinical examination including ultrasonography was performed 8-14 days after treatment. beta-hCG level was determined before treatment and at follow-up.

RESULTS:

A total of 254 pregnant women with gestational age 63 to 90 days were included. The successful termination rate was 91.7%. Surgical evacuation was carried out in 21 (8.3%) women. Most women (91.0%) found the method of treatment highly acceptable. The beta-hCG levels of women with successful termination had decreased more than 97.5% at follow-up.

CONCLUSION:

Medical abortion is an effective and acceptable method for termination of pregnancy in late first trimester.

PMID:
20410769
DOI:
10.1097/AOG.0b013e3181da0c3e
[Indexed for MEDLINE]
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