surgical abortion timing
D+C: up to 14-16wks
D+E: 16 - 20 weeks, very max in Canada until 24 wks (viability….very rare)
surgical abortion anaesthetic options
GA - in hospital
conscious sedation - clinics
local + oral analgesia - up to 8 weeks
medical abortion meds
methotrexate + miso vaginally days after
OR
mifepristone + miso (faster!)
success rate of med abortion
95-98%, better earlier
medical abortion in 2nd trimester
used for genetics, hold baby + can do pathology
miso vaginally
risk of retained placenta (D&C)