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Thursday, April 15, 2010

Contraindications...

Do not use abortion pills in following cases:

  1. HB less than 8 gm %
  2. Patient complaining Pain in abdomen…suspected /confirmed ectopic pregnancy / undiagnosed adnexal mass
  3. coagulopathy or patient on anticoagulant therapy
  4. chronic adrenal failure or current use of systemic corticosteroids
  5. uncontrolled hypertension…more than 160/100 mmHg
  6. cardio-vascular diseases such as angina, valvular heart diseases, arrhythmia
  7. severe renal, liver or respiratory diseases
  8. glaucoma of eye.
  9. uncontrolled seizure disorder…epilepsy.
  10. History of allergy or intolerance to mifepristone / misoprostol or other prostaglandins
  11. lack of access to 24-hours emergency services.
  12. Irresponsible or un co operative patient
  13. Not willing to wait or anxious patient..
  14. Not willing for surgical abortion in case of failure
  15. Refusing to give consent in writing.
  16. Patient moving to some other place …within 30 days.
  17. Unknown person or woman…demanding tablets to take at home…she may misuse the tablets.
  18. as an emergency contraceptives…to avoid pregnancy.
  19. unconfirmed pregnancy…only menses are delayed and urine pregnancy test is negative.
  20. Pregnancy with history of copper T of which position is not confirmed…or even if position is in situ.

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