TERMINATION OF A PREGNANCY- VARIOUS ASPECTS
Mishra Archana* and Arya Priyanka
Termination of pregnancy has been practiced since the time immemorial and is an important part of reproductive health care scheme of any country, with more than 56 million abortions taking place each year globally. Type of procedure used in pregnancy termination is primarily determined by how far a woman is into pregnancy. First trimester pregnancy termination includes both medical and surgical methods. Second trimester pregnancy termination mainly includes medical methods. Surgical evacuation is required only when medical method is contraindicated or in case of hemodynamic instability, with an increased rate of complications in comparison to first trimester pregnancy termination. Third trimester of pregnancy is marked by the significant physical development of the fetus and achievement of viability, pregnancy termination at this stage requires more experience and skill in the operating physician. This article gives a review about various termination methods in each trimester and associated complications. Termination of pregnancy is an integral part of reproductive healthcare for women. Most terminations are carried out because the pregnancy was unintended, and a majority of procedures are conducted in the first 9 weeks of pregnancy. Apart from this, intrauterine fetal death and congenital anomalies in fetus are leading causes requiring termination.
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