Microsoft word - non-surgical.docx

Non-Surgical/Medical Abortions:
Ru-486/Mifeprex Abortion Pill,
Methotrexate Injection

Non-surgical / medical abortion or abortion by pill is a relatively new method of termination of
pregnancy for early pregnancies (below 7-9 weeks of pregnancy from the first day of the last menstrual
period, confirmed by ultrasound dating). Even prior to RU-486 or Mifeprex, our very experienced, New
York-State-licensed, and board-certified OB/GYN physician has had years of valuable experience in
providing non-surgical abortions. With this method, medications are used to cause the pregnancy to stop
growing and be expelled in a manner similar to a miscarriage. The abortion pill, Mifepristone (Mifeprex
or RU-486), or methotrexate injection is used sequentially with misoprostol. The benefits, side effects,
and alternatives are extensively discussed with each patient who chooses non-surgical abortion. While this method may be appealing to some, it is not the ideal choice for every patient. The abortion pill, Mifepristone (RU-486 or Mifeprex), has been approved by the FDA for non-surgical
abortions and is available at Liberty Women's Health Care of Queens - NYC. We provide the abortion pill for non-surgical abortions for pregnancies up to 9 weeks. Mifepristone is an anti-Progesterone drug that stops the early pregnancy from growing. We have had much experience and success with the abortion pill, mifepristone, for non-surgical abortions. Methotrexate is an FDA approved drug used for the treatment of certain cancers and chronic diseases. It
has also been used to treat early ectopic (tubal) pregnancies, which are pregnancies that implant outside the uterus. When used in early pregnancy, methotrexate stops the rapidly growing embryonic and placental cells of early pregnancy from growing. We have had much experience and success in using methotrexate for non-surgical abortions and ectopic pregnancies. Misoprostol is a drug that is used to treat peptic ulcers. When used as the second drug during a non-
surgical abortion with the abortion pill or injection, it promotes the expulsion of the abnormal early All patients are treated with individualized, personalized care. A medical history is obtained to alert the physician to medical conditions. Convenient, accurate, state-of-the-art lab testing is done to verify the pregnancy and to check the blood count and Rh blood type. Warm, courteous professionals counsel each patient extensively on the benefits, risks, and alternatives of the procedure. The most accurate, state-of-the-art ultrasound machines are used to accurately date the pregnancy and detect gynecological conditions that can affect the procedure. Our board-certified OB/GYN physician is an expert at OB/GYN
ultrasound, which is very important, since the quality and accuracy of the ultrasound is greatly dependent
on both the quality of the equipment and the skill of the person doing the ultrasound. Patients who undergo a non-surgical abortion are given the first medication in the office (either mifepristone (RU-486 or Mifeprex) pill or methotrexate injection). We use authentic FDA approved Mifeprex
abortion pills, unlike some "bargain" clinics that offer fake abortions pills that do not work. The
dose of methotrexate is calculated by a formula using the patient's height and weight. She then uses misoprostol tablets 2-7 days later, after which she can expect to experience lower abdominal cramping pain, vaginal bleeding, nausea, vomiting, and diarrhea, which may be extreme in some cases. It is absolutely necessary for the patient to return to this office two weeks after the initial medication for a follow-up exam and ultrasound to ensure the successful completion of the procedure, and afterwards as necessary. Extensive studies have shown that approximately 5% of the time, non-surgical abortions are not successful
(compared with less than 0.1% for surgical abortion), and the abortion must be completed with a surgical procedure called a suction D&C (dilatation and curettage). The suction D&C can be done conveniently in our office without an additional fee. Occasionally, some patients will experience prolonged and heavy bleeding, of more than two sanitary pads per hour for at least two hours, even after the two-week follow-up visit, in which case she should call our office immediately to come in to be evaluated, and a suction D&C (dilatation and curettage) may be necessary. Failure to have the suction D&C can lead to complications, such as continuous, profuse blood loss that may require a blood transfusion, or a continuing pregnancy with birth Since non-surgical abortions are performed for early pregnancies, some very early pregnancies will turn out to beectopic pregnancies (pregnancies located outside the uterus usually in the fallopian tube), which
account for 2% of all pregnancies and can be life-threatening emergencies. Ectopic pregnancies are
often difficult to detect. Our board-certified OB/GYN physician is skilled at diagnosing and treating ectopic
pregnancies with state-of-the-art surgical and non-surgical methods. Our physician is a very experienced, New York State-licensed, and board-certified OB/GYN
physician with special expertise in abortion and ultrasound. We do not use family practice physicians
with limited experience in OB/GYN care. Our physician is an attending physician who maintains active
hospital privileges in the Department of Obstetrics and Gynecology at local hospitals including New York Hospital Medical Center of Queens and Flushing Hospital Medical Center. Please call 718-888-0018 to schedule an appointment.


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