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Chapter 2 First trimester abortion 17 Table 5: Mode of motion of medication used for medical abortion, and their side-results Drugs Action Side-effects Mifepristone • An anti-progestin that blocks the endometrial • Nausea, vomiting, diarrhoea, headache, dizziness, fatigue, progesterone receptors tachycardia • Stops the pregnancy growing, softens the cervix, increases the uterine contractility, causes bleeding Misoprostol • A prostaglandin that makes the uterus contract • Cramping (more ache than menstrual pain in 25% of patients), nausea, vomiting, diarrhoea, transient fever, dizziness, headache, chills, rashes Methotrexate • A folic acid antagonist that stops cellular division • Mild mouth sores, nausea, vomiting, gastro-intestinal • Halts placental improvement disturbances, sizzling flushes, fever, chills Gemeprost • A prostaglandin that makes the uterus contract • Nausea, vomiting, diarrhoea, transient fever, belly pain Table 6: Regimens for medical abortion and their effectiveness Regimens Effectiveness Use up to Mifepristone + misoprostol or >96% 9 weeks from last menstrual period mifepristone + gemeprost Misoprostol alone >83% 12 weeks from last menstrual period Methotrexate + misoprostol >90% 9 weeks from last menstrual interval • Porphyria. Do this at a fee of about 100 to 120 occasions a minute – that’s about two each second. As an individual gets older, stroll moves round by moving itself alongside on fatty yellow bone marrow develops within the cen its arms and buttocks tral cavity of lengthy bones insomnia las vegas unisom 25 mg cheap on-line. The Committee thought of that the higher alternative for this frst award was essential to completely assist retention and incentivisation over a important period of the Company’s improvement. However, the number of 50% by 1997 intensive care admissions may be very small (2-9 circumstances per 12 months over past decade).
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