[Medical termination of pregnancy by general practitioners]

A medical termination of pregnancy can be carried out effectively and safely up to 9 weeks' amenorrhea by general practitioners. In the case of an early pregnancy, reliable anamnesis and absence of risk factors for an EUG, ultrasound diagnostics are not strictly necessary before a medical termination of pregnancy. Anamnesis and/or b-HCG monitoring are a sound alternative. If there is no loss of blood 4 hours after insertion of misoprostol the woman can insert the extra 2 tablets of misoprostol. If there is heavy blood loss (soaking more than two large pads per hour for two consecutive hours) and/or suspicion of an EUG, the general practitioner should consult a gynecologist. In the event of a positive pregnancy test after 3 weeks, the test can be repeated after a week if there are no symptoms. Rhesus prophylaxis is not necessary.