First Trimester

Medical

■ Antiprogesterones such as mifepristone (RU 486) or epostane; used only before 9 weeks' gestation. Without progesterone, the uterine lining sloughs off.

■ Methotrexate IM + intrauterine misoprostol 1 week later; used only before 9 weeks' gestation. Methotrexate is a folic acid antagonist that interferes with cell division.

Surgical

Cervical dilation followed by aspiration curettage (D&C): Risks include cervical/uterine injury and Asherman's syndrome.

Medical methods of abortions can only be used in first 9 weeks.

What abortion method has the lowest complication rate? Dilation and evacuation. Risks include: Hemorrhage/perforation.

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