A 19-yrs-old woman desires an MTP at 6 weeks of pregnancy . Which of the following is an appropriate procedure to perform this MTP ?
Dilation and curretage
Hypeonic extra-amniotic saline infusion
Suction and evacuation
15-methyl Beta-prostaglandin injection
In the given case choices, suction and evacuation is the preferred technique for first trimester aboions. Medical methods like Mifepristone followed by misoprostal can be used and its 99% effective in the first 7 weeks of pregnancy. Would have been a better answer if it was mentioned in the choices here Dilation and curettage- can be done but since there is curettage involved, there is an inherent risk of Asherman's syndrome.Hence avoided for such early gestation Hypeonic saline infusion-Though not in regular use in most hospitals due to concerns of Amniotic Fluid embolism, its done for second trimester aboion. Prostaglandins - done for termination of pregnancy > 12 weeks Pregnancy gestation where its the drug of choice.
Obstetrics