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Review
. 2004 Jun:85 Suppl 1:S73-82.
doi: 10.1016/j.ijgo.2004.02.010.

Improving technologies to reduce abortion-related morbidity and mortality

Affiliations
Review

Improving technologies to reduce abortion-related morbidity and mortality

K Rogo. Int J Gynaecol Obstet. 2004 Jun.

Abstract

This article reviews the technologies used to diagnose pregnancy and manage abortion in developing countries. The author discusses methods of diagnosing pregnancy--including physical examination, laboratory and home testing, and ultrasound--as well as methods for performing safe abortions. Due to manual vacuum aspiration (MVA) advances, vacuum aspiration has become safer and more feasible in low-resource settings. The discussion of medical abortion includes the advantages and limitations of mifepristone, misoprostol-only regimens, methotrexate, and other methods. The author stresses the importance of post-abortion care and post-abortion contraception and, in the conclusion, identifies six areas in which technology can reduce abortion-related morbidity and mortality: pregnancy prevention, early diagnosis of pregnancy, accurate assessment of gestation, standardization and supply of MVA technology, and simple and affordable regimens for medical abortion.

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