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12. Medical Termination of Pregnancy: Obstetrics and Gynecology Lecture

𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝗙𝐨𝐫 𝗠𝐨𝐫𝐞 𝗜𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐨𝐧 𝗛𝐞𝐚𝐥𝐭𝐡 👩‍⚕‍ 𝐚𝐧𝐝 𝗠𝐞𝐝𝐢𝐜𝐢𝐧𝐞💉🩺💊 𝐘𝐨𝐮𝐭𝐮𝐛𝐞 :    / @draishwaryakelkar   📌𝗙𝗮𝗰𝗲𝗯𝗼𝗼𝗸 :   / draishwaryakelkar   📌𝗧𝘄𝗶𝘁𝘁𝗲𝗿:   / aishwayadr   📌𝗜𝗻𝘀𝘁𝗮𝗴𝗿𝗮𝗺 :   / clinical.learning   Medical Termination Of Pregnancy - ------------------------------------------------------------- Medical Termination of Pregnancy (MTP): Refers to the legal and medical process of ending a pregnancy using medication or surgical methods before the fetus can survive independently outside the womb. MTP is often chosen for various reasons, including maternal health risks, fetal abnormalities, or personal circumstances. Indications - Maternal Health: Conditions like severe hypertension, heart disease, or cancer where continuing the pregnancy poses significant risks to the mother’s life. Fetal Abnormalities: Congenital malformations or genetic disorders diagnosed prenatally, which are incompatible with life or would result in severe disability. Elective: Based on personal, social, or economic reasons, where the woman chooses to terminate the pregnancy. Methods - Medical Abortion: Involves the use of medications like mifepristone and misoprostol to induce abortion, typically within the first 10 weeks of pregnancy. Mifepristone blocks the hormone progesterone, necessary for pregnancy continuation, while misoprostol induces uterine contractions to expel the pregnancy tissue. This method is non-invasive and can be done in the privacy of one’s home with follow-up care. Surgical Abortion: Vacuum Aspiration: Used up to 12 weeks of pregnancy, involves the removal of pregnancy tissue using gentle suction. Dilation and Curettage (D&C): Performed in the second trimester, involves dilating the cervix and removing the pregnancy tissue with surgical instruments. Dilation and Evacuation (D&E): A more advanced procedure used later in the second trimester, combining dilation and surgical removal of fetal tissue. Legal and Ethical Considerations - Legality: MTP is regulated by laws that vary by country and region. It is legal in many parts of the world but is often subject to gestational limits and requires medical justification after certain points in the pregnancy. Ethical Considerations: MTP involves ethical debates surrounding the rights of the woman versus the fetus, making it a sensitive and complex issue. Complications - Immediate: Excessive bleeding, infection, or injury to the uterus during surgical procedures. Incomplete abortion may require further medical intervention. Long-term: Psychological impact, including feelings of guilt, depression, or anxiety in some women. Rarely, repeated surgical abortions may lead to cervical insufficiency or intrauterine adhesions. Post-Procedure Care - Medical Follow-Up: Ensuring the abortion is complete, monitoring for complications like infection, and providing contraceptive counseling. Emotional Support: Counseling and support services may be necessary to address the emotional and psychological aspects of MTP. Conclusion - Medical Termination of Pregnancy is a crucial aspect of reproductive healthcare, allowing women to make informed choices about their pregnancies. It requires careful consideration of medical, legal, and ethical factors, with a focus on the safety and well-being of the woman. 🩺🌸 #MedicalTerminationOfPregnancy #MTP #ReproductiveHealth #WomensHealth #MedicalAbortion #SurgicalAbortion #MaternalHealth #LegalRights #EthicalConsiderations #Gynecology #Healthcare #FMGEPreparation #NEETPG #USMLE #MedStudent #DoctorLife #PregnancyCare #SafeAbortion #HealthCareAccess #MedicalEducation #ExamPrep #Obstetrics #PatientCare #WomensRights #Contraception

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