Abortion - medical - Overview

Alternative Names

Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion

Definition of Abortion - medical:

A medical abortion is the use of certain medications to end a pregnancy. The drugs help remove the fetus and placenta from the mother's womb (uterus).

There are different types of medical abortion.

Sometimes the woman has one for a health reason. This is called a therapeutic medical abortion.

Other times, she chooses (elects) to end the pregnancy. This is called an elective medical abortion.

Description:

A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last menstrual period. A combination of prescription hormone medicines are used to help the body remove the fetus and placenta tissue. The doctor may give you the medicines after performing a physical exam and asking questions about your medical history.

Medications used to end an early pregnancy include mifepristone, methotrexate, misoprostol, prostaglandins, or a combination of these medications.

Why the Procedure Is Performed:

There are several reasons a medical abortion might be considered:

The developing baby has a birth defect or genetic problem
The pregnancy is harmful to the woman's health (therapeutic abortion)
The pregnancy resulted after a traumatic event such as rape or incest
The woman may not wish to be pregnant (elective abortion)

Reviewed last on: 11/21/2010
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

ACOG. Clinical management guidelines of obstetrician-gynecologists. Medical management of abortion. Obstet Gynecol. 2005 Oct;106(4):871-82.

Mischell DR. Family planning: contraception, sterilization, and pregnancy termination. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 14.

Simpson JL, Jauniaux ERM. Pregnancy loss. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 24.

Annas GJ, Elias S. Legal and ethical issues in obstetric practice. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 51.

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