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Medical abortion is a term applied to an abortion brought about by medication taken to induce it. This can be accomplished with a variety of medications given either as a single pill or a series of pills and it is much safer than surgical abortions.
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Abortion pills RU486 (Mifepristone) and Cytotec (Misoprostol) came into use in the early 1990s. RU486 alone or with Cytotec give excellent results when used correctly. RU486 is available only in few countries. In Singapore, the HSA has not approved the use of RU486. Even Cytotec is not licensed for abortion. Studies have confirmed the use of Cytotec before standard abortion procedures have improved safety (that is, less complication) and reduced procedural discomfort. Injudicious use of Cytotec has however resulted in serious side effects to the pregnant women with few deaths reported.
These women include those who have already given birth to three or more children, who have not passed their PSLE ??or have no secondary education, and who are non-Singaporean. Minimizing Abortion Complication Every surgical procedure has its complication. Abortion or termination of pregnancy is no exception. The reason to legalize abortion was to prevent the serious complications that a company back-street abortions had. Gynecologists receive extensive training surgery of the womb and when it is performed in the right set-up, the risk of the procedure is substantially reduced. Injury to Womb When TOP is performed, the neck of the womb has to be progressively dilated to a diameter that allows the smallest appropriate vacurette to be used. If the neck is dilated less than adequate, subsequent insertion of other instruments will be difficult and increase the risk the uterus being pierced through the instruments. Perforating the uterus does no permanent damage to the uterus but additional steps have to be taken to ensure that other abdominal organs are not injured by the event.
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