limit
23 +6 weeks
assessment of gestation
clinical= palpable uterus, LMP and positive pregnancy test
USS
medical abortion
mifepristone + misoprostol
when is abortion done as an inpatient procedure?
> 12 weeks
surgical abortion
anaesthetic with cervical priming via misoprostol or osmotic dilators:
<14 weeks= MVA
>14 weeks= dilation and evacuation
prophylaxis at the time of abortion
antibiotics
anti-D if rhesus -ve
VTE prophylaxis
antibiotic choice
7 days doxy or 1g azithromycin + 500mg 2 days
moderate VTE risk
LMWH for 1 week after
high VTE risk
6 weeks LMWH