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Abortion.

P D Blumenthal1

  • 1Department of Obstetrics and Gynecology, Francis Scott Key Medical Center, Baltimore, MD 21224.

Current Opinion in Obstetrics & Gynecology
|August 1, 1991
PubMed
Summary
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In 1990, abortion literature focused on surgical safety, medical abortifacients like mifepristone (RU 486), and ethical reviews. Global abortion protocols are converging, especially with mifepristone use, and short-term psychological effects are minimal.

Area of Science:

  • Reproductive Health
  • Medical Ethics

Background:

  • Abortion literature in 1990 covered surgical safety, medical abortifacients (mifepristone/RU 486), and psychologic/ethical aspects.
  • Surgical abortion techniques varied globally, with dilatation and evacuation more common in the US.
  • Medical abortion knowledge, particularly with mifepristone, was advancing.

Purpose of the Study:

  • To review the state of abortion literature in 1990.
  • To analyze trends in surgical and medical abortion procedures.
  • To assess the psychologic and ethical considerations surrounding abortion.

Main Methods:

  • Literature review of abortion-related articles from 1990.
  • Comparative analysis of international abortion protocols.
  • Examination of safety, efficacy, and psychologic outcomes.
Keywords:
Abortion, Induced--complicationsBehaviorBiologyClinical ResearchEndocrine SystemFamily PlanningFertility Control, PostconceptionHormone AntagonistsHormonesLiterature ReviewPhysiologyProstaglandins--therapeutic usePsychological FactorsResearch MethodologyRu-486--therapeutic use

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Main Results:

  • Increasing similarity in termination protocols across the US, UK, and Europe noted.
  • Mifepristone's effectiveness for early first-trimester termination and optimal dosage were becoming established.
  • Short-term negative psychologic sequelae of abortion were found to be infrequent and not a significant public health concern.

Conclusions:

  • Global convergence of abortion protocols is expected, driven by advancements like mifepristone.
  • Surgical abortion safety remains a primary focus, with refined techniques.
  • Psychological impact of abortion is minimal in the short term.