Termination of Pregnancy with Ru486ishere - PowerPoint PPT Presentation

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Termination of Pregnancy with Ru486ishere

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Our goal is to produce each patient with the time, attention and knowledge necessary to deal with her queries Associate in Nursing issues so she is ready to create an sophisticated call concerning the abortion method. – PowerPoint PPT presentation

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Title: Termination of Pregnancy with Ru486ishere


1
Pregnancy Termination
Our goal is to provide every patient with the
time, attention and information necessary to
address her questions and concerns so that she is
able to make an informed decision regarding the
abortion process.
  • Ru486ishere
  • Beverly Hills, California

2
Free Abortion Pills
  • Free abortion clinic
  • Free parking is available
  • A discreet private office
  • Abortion services in a private, confidential
    office with individualized care from a Board
    Certified Ob-Gyn.
  • Medical and Surgical Abortion
  • Free STD testing, Free Pap test.

3
...and WHY CHOOSE US
  • All physicians are board-certified in gynecology
    and on the staff of the Cedars-Sinai Medical
    Center located in Los Angeles, California. The
    office has provided surgical abortions since
    1989. Medical abortions were introduced into the
    practice in1989 as an alternative to surgical
    abortions.
  • On hand to assist our physicians is a caring,
    professional trained staff who are committed to
    patient comfort and patient confidentiality. We
    believe it is our goal to help you be as
    comfortable as possible during office visits. We
    will make every attempt to be respectful, kind
    and understanding of your needs.

4
Background
  • Our office is a confidential, personal
    alternative to conventional abortion clinics.
    From the time of your first phone call you will
    be greeted by a friendly and understanding staff
    member who will do their best to answer your
    questions. Same-day appointments if necessary
    will always be made available including evenings
    and Sundays. If any questions require the
    attention of our physicians, they will answer
    your questions and concerns prior even to your
    scheduled appointment.

5
Misoprostol
  • A synthetic PGE1 analogue (15-deoxy-16-hydroxy-16-
    methyl PGE1).
  • Prevention and treatment of peptic ulcer and
    later used off-label as an abortifacient.
  • Advantages over other PGs cheap, stable at room
    temperature and can be stored for a long time.
  • Limited effect on the bronchi or blood vessels.
  • Effective in different routes of administration.
  • Few and dose-dependent side effects.
  • Available in many countries

6
Antiprogesterone
  • Progesterone is a key hormone in maintaining the
    pregnancy by keeping the uterus in a quiescent
    state.
  • It prevents softening and dilatation of the
    cervix, reduces PG output from the decidua, and
    suppresses uterine contractions.
  • Mifepristone is the only anti-progestin approved
    for the induction of abortion.
  • Binds with high affinity to the progesterone
    receptor, inhibiting the effect of the hormone.

7
Surgical evacuation of the placenta
  • Routine surgical evacuation of the uterus is not
    required. It should only be undertaken if there
    is clinical evidence that the abortion is
    incomplete (El-Refaey and Templeton, 1995).
  • Only 811 of women needed surgical evacuation
    following T2 medical abortion (Ashok et al.,
    2004).
  • Surgical evacuation was as low as 2.5 (Hamoda et
    al., 2005a).

8
Making choices
  • Although DE is a very safe and effective
    procedure, its safety profile derives from the
    surgeons knowledge, experience, and skills.
  • In the past, institutions that have lacked
    skilled DE providers have had to refer patients
    to other facilities or choose medical induction
    regimens characterized by long induction-abortion
    intervals and relatively high rates of
    complications.
  • Newer medical regimens using PG E1 analogue with
    or without mifepristone offer sufficiently
    effective, well tolerated abortion-induction
    intervals so that clinicians have far greater
    latitude choosing a medical vs surgical approach.

9
HOW MUCH DOES THE PROCEDURE COST?
  • The non-surgical procedure is 470. This
    includes the initial consultation, the
    preliminary ultrasound to determine the exact
    weeks and location of pregnancy, and the cost of
    the medications used in the office such as the
    RU-486 and the misoprostol. The 470 also
    includes all follow-up visits in the Physician to
    ensure a completion of non-surgical abortion. The
    470 also includes any surgical procedure
    performed in the Physician as a follow-up of the
    non-surgical abortion.

10
WHO DOES NOT QUALIFY FOR A MEDICAL ABORTION?
  • A medical abortion is not recommended if you
  • re more than 56 days pregnant
  • take anti-clotting medication or have
    blood-clotting disorders.
  • have severe heart, liver, or active inflammatory
    bowel disease.
  • have certain severe kidney problem.
  • have a serious immune system problem, such as
    HIV.
  • have seizures more than once a week.
  • take any medicine that should not be combined
    with methotrexate, mifepristone, or misoprostol.
  • cannot return for follow-up visits.
  • have a tubal pregnancy.

11
Gynecological Services Offered
  • PAP Smear
  • Birth Control
  • STD Detection
  • Urinary Tract Infections
  • HIV testing
  • IUD
  • Ultrasound
  • Vaginal Infections
  • Well Woman Exams
  • Morning After Pill
  • Family Planning

12
For more Information
  • BEVERLY HILLS
  • Wilshire/La Cienega
  • 292 S. La Cienega Blvd. 100
  • Beverly Hills CA 90211.
  • Phone 424-239-1650
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