Medical Termination of Pregnancy

True regarding Medical Termination of Pregnancy (Amendment Bill, 2021)

A. Permits abortion to be allowed up to 20 weeks on the opinion of just one medical practitioner
B. Abortions beyond 24 weeks not allowed
C. Doctors with training of six months can perform abortions
D. Name and other particulars of a woman whose pregnancy has been terminated shall be notified

All are indications for MTP except

A. Cardiac diseases (Grade III and IV) with history of decompensation in the previous pregnancy
B. Rubella, a viral infection affecting in the second trimester
C. Diabetes mellitus with retinopathy
D. Breast malignancy

Not true of RU486 (mifepristone) is

A. At low doses can be used for emergency contraception
B. Mechanism of action involves the intracellular receptors of the antagonized progesterone
C. Can be used to treat the symptoms of Cushing Syndrome
D. Highly successful when used within 68 days of gestation

All of the following are true of medical methods of termination of pregnancy except

A. Success rate of abortion is 90% for Mifepristone and prostaglandins
B. Pretreatment with mifepristone reduces the induction-abortion interval
C. Dinoprostone is thermolabile
D. High-dose oxytocin as a single agent can be used for second trimester abortion

Indications of hysterotomy for second trimester abortions are all except

A. Placenta accreta or percreta
B. Prior failed medical termination of pregnancy
C. Uterine anomalies
D. Multiple fibroid uterus

In short

  • Mifepristone followed by misoprostol is the most efficacious, well-tolerated and cost-effective regimen for medical abortion in the first and second trimesters.

  • Abortion can be performed surgically (in the first trimester, by manual or electric vacuum aspiration) or with medication: both are safe and effective.

  • Pharmacological preparation of the cervix should be recommended as a routine part of surgical abortion in all women. The priming duration may be reduced to 1 hour if misoprostol is administered sublingually.

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