Abortion with a help of a pill – today it’s a reality

Abortion with a help of a pill - today it's a reality

In a large number of countries in the world, abortion as a method of terminating a pregnancy, is unfortunately still a taboo subject. Despite the social and medical advancement in the world, abortion is still used as birth control and contraception. It is accompanied by many physical, emotional and psychological consequences for a woman in the reproductive period and therefore every woman should have the right to free choice, the right to a safe and legal abortion and full information about the procedure.

On average, about 41% (85 million) of the 208 million pregnancies annually in the world are unplanned, and half of them end up with abortion [1]. Modern methods of termination of pregnancy include traditional, surgical (instrumental) abortion and drug-induced (pharmacological) abortion.

The WHO recommended method for surgical interruption of pregnancy is a so-called vacuum aspiration (manual or electrical) at gestational age of 12-14 weeks. Dilatation and evacuation (D & E) or curettage is another method of surgical interruption of pregnancy that is recommended to be replaced by vacuum aspiration.

Medicaid abortion has been used in several European countries for several years and is a non-invasive method of terminating a pregnancy by using drugs according to a particular protocol depending on the gestational age of the pregnancy. In countries where both methods of termination of pregnancy are available, the woman decides on the type of abortion she chooses. In the Balkan countries, medical abortion is not yet an officially available method for terminating a pregnancy, and its available only surgical abortion that is actually an invasive method.

The most commonly used drugs for performing drug abortion are Mifepriston (commonly known as RU-486) and Misoprostol (Cytotec) and are administered in the first trimester of pregnancy (until the 9th or 12th week). In order to increase efficacy, it is recommended that a combination of both drugs be administered, or rather Mifepriston (orally) initiates the abortion first, and after two days Misoprostol is administered which causes contractions and helps the products to be thrown out of the conception by the uterus.

In many studies, it has been proven that medical abortion is a safe and effective method of terminating a pregnancy, with a reported success rate or efficiency of 95% [2]. Its advantages compared to the surgical are low cost and the possibility of performing at home if there is provided access to the appropriate healthcare facility in case of need.

Taking into account the efficacy and safety of medical and surgical abortion, as well as the complications they carry with them, the introduction of drug abortion in practice is the introduction of an appropriate alternative method for termination of unwanted pregnancy, and at the same time allows for greater choice in the adoption of one of the the hardest decisions in a woman’s life.

  1. Safe Abortion: Technical and Policy Guidance for Health Systems. 2nd edition. Geneva: World Health Organization, 2012. ; b) Lohr Patricia A, Fjerstad Mary, DeSilva Upeka, Lyus Richard. Abortion BMJ 2014; 348 : f7553
  2. American College of Obstetricians and Gynecologists (ACOG). Practice bulletin no. 143: medical management of first trimester abortion. Obstet Gynecol. 2014 Mar;123(3):676–92.

Image source: Photographer:BDS

Book Pack you’ll need while studying for MBBS

Greetings, med students!

We have been getting a lot of questions on our page, regarding medical literature. Where do I find the books, which ones you recommend, do you have anatomy books are only some of them, to name a few.

So, look no further, as we have something for you ! With help of one of our fans A. Aqeel, we have gathered a list of medical books, which should help you on this quest of becoming a medical professional.

We know this road is very rocky one, with a lot of twist and turns, and we want to help!

Here is the list of the complete package, with all the pdf books you will need (download links included):

Anatomy:
1–> KLM for Gross Anatomy
2–> Snell’s Anatomy
3–> BD Churassia
4–> RJ Last
5–> Grey’s Anatomy
6–> Langman Embryology
7–> KLM for Embryology
8–> BD For General Anatomy
9–> Dissector
10–> Di Fore Histology
11–> Junqueira’s Histology
12–> Netter Atlas of human Aantomy

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LYV9KQ3lxY29FY28

Physiology:
1–> Guyton
2–> Ganong
3–> Sheerwood
4–> Sembulingam

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LdXlCSjdZM214dEE

Biochemistry:
1–> Harper
2–> Lippincott
3–> Chatterjea
4–> Satyanarayan
5–> Stryer
6–> MRS Biochemistry

Folder link–> https://drive.google.com/drive/folders/0B3WdpdsqpX0Ld0o3WnhCR2VEczg

Pathology:
1–> Big Robins
2–> Medium Robins
3–> Pathoma
4–> Goljan
5–> Harsh Mohan Pathology
6–> Atlas of Histopathology
7–> Levinson
8–> MRS microbiology
9–> Microbiology by Jacquelyn G. Black
10–> Color Atlas of Microbiology
11–> Kaplan Pathology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LYkRYdjFrTm5MR0U

Pharmacology:
1–> Big Katzung
2–> Mini Katzung
3–> Kaplan Review
4–> Lippincott
5–> Pocket Katzung
6–> Rang and Dale’s Pharmacology
7–> Atlas of Pharmacology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LMkE1UUVRZGwtTlU

Forensic Medicine:
1–> Simpson’s Forensics
2–> Krishan’s Forensics
3–> Atlas of Autopsy
4–> Atlas of Forensic Medicine

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LQXVwOGoyWnFSV2s

Ophthalmology:
1–> Jogi
2–> Jatoi
3–> Parson’s Textbook of Eye
4–> Kanski
5–> AK Khurana
6–> Atlas of ophthalmology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LOHc5WVZMdkJjX2M

Otorhinolaryngology:
1–> Dhingra
2–> Logans Turner
3–> Color Atlas of Otorhinolaryngology
4–> Maqbool’s Text Book of ENT
5–> Clinical Methods in ENT by PT Wakode
6–> ENT at a Glance

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LaDY2a0lFNDlfTGc

Community Medicine:
1–> Monica’s Text Book Community Medicine
2–> Mahajan And Gupta Text Book of Community Medicine
3–> Bancroft’s Text Book of Community Medicine

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0Lc1RCMml2NjhFNjA

Medicine:
1–> Churchill’s Pocketbook of DD
2–> MTB Step 2 Ck
3–> Davidson Essentials
4–> Davidson Principals and practice
5–> Harrison’s Internal Medicine
6–> Internal Medicine USMLE Nuggets
7–> Internal Medicine on call bt LANGE
8–> Oxfords Specialties

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LeEFJNG5TMlc4eWc

Surgery:
1–> Bailey_love short practice of Surgery
2–> Churchill’s pocketbook of Surgery
3–> Deja Review of surgery
4–> Farquharson’s Textbook of Operative General Surgery
5–> Hamilton Bailey’s Physical Signs
6–> Oxford Handbook of Clinical Surgery
7–> Schwartz’s Principles of Surgery
8–> Macleod’s Clinical Examination
9–> Macleod’s Clinical Diagnosis

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LRFpFSG5hZ1pVWkE

Obstetrics & Gynecology:
1–> Case Discussions in Obstetrics and Gynecology
2–> Deja Review of Obstetrics Gynecology
3–> Obstetrics by Ten Teachers
4–> Gynaecology illustrated
5–> Gynaecology by Ten Teachers

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LMU1LRjFDa1FrbjA

Pediatrics:
1–> Nelson Essentials of Pediatrics
2–> Nelson Complete
3–> Pediatrics Review

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LUkdTQkVuNV92Yzg

And some other books you might find useful:

1st Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0Lay1HT1d5Yks5V0U

2nd Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0LemtmYXpYMGlydVk

3rd Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0LWmlCSHBpUFpPZU0

4th Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0LbnJvUzk3NHRhWWc

Photo credits: Designed by Freepik

What is a “High-Risk” Pregnancy?

https://www.youtube.com/watch?v=uCXI5G2gzaI

Angela Chiodo, CNM Certified Nurse-Midwife: So there’s a number of things that can make a pregnant person high risk. So obesity, being over 35, if you have high blood pressure. If you’re coming into the pregnancy with other medical problems. Diabetes, or substance abuse issues.

Fonda Mitchell, MD OB/GYN: For your obstetrician what that means is we need to assess you a little closer and maybe a little bit more frequently. It does not mean that there is no potential for a healthy outcome and delivery with this pregnancy.

Leslie, 30 Weeks Pregnant: All of my pregnancies have been considered high risk. Because I was 35 when I had him. 38 when I had him. And now I’m 42.

Fonda Mitchell, MD OB/GYN: So age can be a factor. Because we’re dealing with an increased possibility of associated genetic abnormalities or birth defects.

Stella Dantas, MD OB/GYN: Sometimes when you’re over the age of 35 you have a higher risk of developing other medical conditions during pregnancy. Like diabetes of pregnancy, or hypertension of pregnancy, or preeclampsia.

Ebony, Nine Weeks Pregnant: I was concerned about being high risk when I decided to get pregnant, because of my age, I am 40. But my doctor did prepare me and let me know that there were different things that I could do to make sure that I had a healthy pregnancy. And I know several women who have had pregnancies late in life, and have had healthy children, and good pregnancies.

Stella Dantas, MD OB/GYN: We follow everybody very closely in pregnancy. We will let you know if there are things that are concerning. If you need extra tests during your pregnancy.

Julia Barnes, MD OB/GYN: Especially later in pregnancy, there’s something called a non-stress test, where it was specifically listen a little bit longer for the baby’s heart beat. And measure the fluid around the baby once or twice a week, depending upon the medical problem just to make sure everything’s going well.

Lissa Daimaru-Enoki, MD OB/GYN: We try to work with those moms so that they have the healthiest pregnancy possible. Looking at what they can do to improve their outcomes and have the healthiest pregnancy possible.