Termination of pregnancy is one of the most emotionally charged procedures performed in medicine. It is also one of the more common procedures that occur globally.
In the US, terminations of pregnancy procedures are earlier in the pregnancy. Also, many of these procedures utilize medical means rather than surgical techniques. Several characteristics differentiate the means by which a termination of pregnancy is done and the anesthesia techniques that are provided for it. These include the age of the gestation, the reason for the termination (for medical necessity or elective), and the facility in which the procedure is done. Important issues involved in the anesthesia considerations for termination of pregnancy include: preoperative considerations that should occur before a pregnancy termination, knowledge of the surgical procedures for termination that differ by gestational age, potential early and late complications of termination procedures, and post abortion considerations and care. Several current controversial issues concerning the anesthesia care for termination of pregnancy will be discussed.
Abortion First trimester Second trimester Misoprostol Methotrexate Laminaria Ultrasound Anesthesia Intravenous sedation Paracervical block
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