Eugenics
National Socialism
Genetic Determinism
Abortion, Induced
Sterilization, Reproductive
Abortion, Spontaneous
Abortion, Therapeutic
Abortion, Septic
Abortion, Threatened
Abortion, Incomplete
Accuracy of prenatal echocardiographic diagnosis and prognosis of fetuses with conotruncal anomalies. (1/83)
OBJECTIVES: The purpose of the study was to determine the accuracy of the prenatal echocardiographic diagnosis and prognosis of fetuses with conotruncal anomalies. BACKGROUND: The accuracy of prenatal echocardiographic diagnoses of cardiac lesions has been reported, but no previous reports specifically address fetal conotruncal anomalies. METHODS: Medical records of 61 fetuses, in which a fetal diagnosis of a conotruncal anomaly was made, were reviewed. Disease entities included were tetralogy of Fallot (TOF), double outlet right ventricle (DORV), transposition of the great arteries (TGA), and truncus arteriosus (TA). RESULTS: Fetal diagnosis was established at a median of 24.5 weeks' gestation. Termination of pregnancy was chosen in 31% (19/61) of cases. Postnatal assessment of the diagnosis was not obtained in 12 cases. Excluding two sets of conjoined twins, accurate prenatal diagnosis including definition of the great artery orientation was achieved in 36 of 47 cases (77%). Seven of 17 fetuses with DORV anatomy, of which 6 were thought to have a subpulmonary ventricular septal defect (VSD), had incorrect prenatal assessment of the great artery relationships. One fetus thought to show features of TA had aortic atresia with VSD and normal-sized left ventricle. Of the 42 pregnancies that continued, 15 had major extracardiac malformations and/or chromosomal abnormalities of which one died in utero with trisomy-13 and TA. A further nine died within the neonatal period. Among the 27 fetuses without a documented chromosomal or major extracardiac anomaly, 13 (48%) died. Overall, the survival rate beyond 28 days of life was 52% (22/42). In contrast, 75% (6/8) of fetuses with TOF, excluding the absent pulmonary valve syndrome, survived. CONCLUSIONS: Conotruncal anomalies can be diagnosed by prenatal echocardiography with a high degree of accuracy. Defining the exact spatial relationship of the great arteries is problematic in some fetuses. The overall prognosis for fetuses with a conotruncal anomaly is poor, with the exception of uncomplicated TOF. (+info)Prenatal diagnosis and selective abortion: a challenge to practice and policy. (2/83)
Professionals should reexamine negative assumptions about the quality of life with prenatally detectable impairments and should reform clinical practice and public policy to improve informed decision making and genuine reproductive choice. Current data on children and families affected by disabilities indicate that disability does not preclude a satisfying life. Many problems attributed to the existence of a disability actually stem from inadequate social arrangements that public health professionals should work to change. This article assumes a pro-choice perspective but suggests that unreflective uses of prenatal testing could diminish, rather than expand, women's choices. This critique challenges the view of disability that lies behind the social endorsement of such testing and the conviction that women will or should end their pregnancies if they discover that the fetus has a disabling trait. (+info)Prenatal diagnosis for detecting congenital malformations: acceptance among Israeli Arab women. (3/83)
BACKGROUND: A high rate of consanguineous marriages exists within the Israeli Arab community, with approximately half occurring between first cousins. This contributes towards a high incidence of congenital malformations and autosomal recessive diseases, many of which are detectable at prenatal diagnosis. OBJECTIVES: To assess the levels of both awareness and acceptance regarding prenatal diagnosis and termination of pregnancy among a group of Arab women in order to devise the optimal means of providing genetic counseling and general health services. METHODS: A total of 231 Arab women of childbearing age were interviewed 3 days postpartum to assess their knowledge of prenatal diagnosis and termination of pregnancy, their willingness to undergo prenatal diagnosis, and their opinions on termination of pregnancy in the event of a severely affected fetus. RESULTS: Half the women believed that prenatal testing is not an effective (or accurate) tool for diagnosing an affected fetus. A quarter had poor knowledge on prenatal diagnosis, and a quarter believed that prenatal diagnosis does provide the correct diagnosis. Ninety-five percent said they would agree to undergo prenatal diagnosis; and in the event of a severely affected fetus, 36% said they would agree to a termination of pregnancy, 57% said they would not, and 7% were undecided. CONCLUSIONS: There is a need for special intervention programs, with guidance by health professionals, geneticists and religious authorities, that will inform this population on the increased risk associated with consanguinity, stress the importance and effectiveness of prenatal testing to identify severe congenital malformations, and help them to accept prenatal diagnosis and termination of pregnancy if indicated. (+info)Psychological sequelae of elective abortion. (4/83)
A mild, short, depressive and guilt ridden period following abortion is quite common, but a severe psychological reaction is rare. The indication for the abortion and the preabortal psychological state of the patient are the two most important factors. Almost all reported instances of postabortion psychoses have occurred in patients who had severe preabortal psychiatric problems. Women undergoing abortion for socioeconomic or psychosocial indications appear to be at minimal risk for long-term negative psychological sequelae. In contrast, women in whom abortion is carried out because of exposure to rubella and the risk of fetal malformation, maternal organic disease or the prenatal diagnosis of a genetically defective fetus are at greater risk and may need supportive psychotherapy. (+info)Antenatal screening and its possible meaning from unborn baby's perspective. (5/83)
In recent decades antenatal screening has become one of the most routine procedure of pregnancy-follow up and the subject of hot debate in bioethics circles. In this paper the rationale behind doing antenatal screening and the actual and potential problems that it may cause will be discussed. The paper will examine the issue from the point of view of parents, health care professionals and, most importantly, the child-to-be. It will show how unthoughtfully antenatal screening is performed and how pregnancy is treated almost as a disease just since the emergence of antenatal screening. Genetic screening and ethical problems caused by the procedure will also be addressed and I will suggest that screening is more to do with the interests of others rather than those of the child-to be. (+info)Relation between trihalomethane compounds and birth defects. (6/83)
OBJECTIVES: To evaluate the risk of birth defects relative to exposure to specific trihalomethanes in public water supplies. METHODS: A retrospective cohort study was conducted based on data from a population based perinatal database in Nova Scotia, Canada and from the results of routine water monitoring tests. The cohort consisted of women who had a singleton birth in Nova Scotia between 1988 and 1995 and who lived in an area with a municipal water supply. The birth defects analyzed included neural tube defects, cardiovascular defects, cleft defects, and chromosomal abnormalities. Two of the four trihalomethane compounds occur in large enough concentrations to be analyzed (chloroform and bromodichloromethane (BDCM)). RESULTS: Exposure to BDCM at concentrations of 20 microg/l or over was associated with an increased risk of neural tube defects (adjusted relative risk (RR) 2.5, 95% confidence interval (95% CI) 1.2 to 5.1) whereas exposure to chloroform was not. Exposure to BDCM of 20 microg/l and over was associated with decreased risks of cardiovascular anomalies (RR 0.3, 95% CI 0.2 to 0.7). There was a suggestion of an increased risk of chromosomal abnormalities associated with exposure to chloroform, and no evidence of any association between either trihalomethane compound and cleft defects. CONCLUSIONS: In this cohort, differences were found in the RR associated with exposure to chloroform and BDCM for each of the congenital anomalies under study. These findings point to the importance of examining specific byproduct compounds relative to risk for these birth outcomes and in particular implicate BDCM and other correlated disinfection byproducts in the aetiology of neural tube defects. (+info)Is current practice around late termination of pregnancy eugenic and discriminatory? Maternal interests and abortion. (7/83)
The attitudes of Australian practitioners working in clinical genetics and obstetrical ultrasound were surveyed on whether termination of pregnancy (TOP) should be available for conditions ranging from mild to severe fetal abnormality and for non-medical reasons. These were compared for terminations at 13 weeks and 24 weeks. It was found that some practitioners would not facilitate TOP at 24 weeks even for lethal or major abnormalities, fewer practitioners support TOP at 24 weeks compared with 13 weeks for any condition, and the difference in attitudes to TOP between 13 weeks and 24 weeks is most marked for pregnancies which are normal or involve a mild disorder. It is argued that a fetal abnormality criterion for late TOP is inconsistently applied, discriminatory and eugenic. Four possible moral justifications for current practice are examined, each of which would require significant changes to current practice. I argue in favour of a maternal interests criterion for any TOP. (+info)Is there a 'new ethics of abortion'? (8/83)
This paper argues that the central issue in the abortion debate has not changed since 1967 when the English parliament enacted the Abortion Act. That central issue concerns the moral status of the human fetus. The debate here is not, it is argued, primarily a moral debate, but rather a metaphysical debate and/or a theological debate--though one with massive moral implications. It concerns the nature and attributes that an entity requires to have "full moral standing" or "moral inviolability" including a "right to life". It concerns the question when, in its development from newly fertilised ovum to unequivocally mature, autonomous morally inviolable person does a human being acquire that nature and those attributes, and thus a "right to life". The paper briefly reviews standard answers to these questions, outlining some problems associated with each. Finally there is a brief discussion of one way in which the abortion debate has changed since 1967--notably in the increasingly vociferous claim, especially from disability rights sectors, that abortion on grounds of fetal abnormality implies contempt for and rejection of disabled people--a claim that is rebutted. (+info)Eugenics is a scientific movement that advocates for the improvement of human genetic qualities through various measures such as controlled breeding, selective immigration, and even forced sterilization. The goal of eugenics is to increase the number of individuals who possess desirable traits and decrease the number of those with undesirable traits in order to improve the overall genetic makeup of the population.
The term "eugenics" was coined by Sir Francis Galton, a British scientist, in 1883. He believed that intelligence and other positive traits were heritable and could be improved through selective breeding. The eugenics movement gained popularity in the early 20th century, particularly in the United States and Germany, where it was used to justify forced sterilization and other coercive measures aimed at controlling the reproduction of certain groups of people.
Today, the concept of eugenics is widely discredited due to its association with discrimination, racism, and human rights abuses. However, the principles of genetics and heredity that underlie eugenics continue to be studied and applied in fields such as medicine and agriculture.
An "eugenic abortion" is not a medical term, but rather a descriptive phrase that combines two concepts: eugenics and abortion.
Eugenics refers to the belief and practice of improving the human species by encouraging reproduction of individuals with desired traits and preventing reproduction of those with undesired traits. This concept has been widely criticized for its potential to be used as a tool for discrimination and oppression.
Abortion, on the other hand, is the medical procedure to end a pregnancy before the fetus can survive outside the womb.
A "eugenic abortion," therefore, generally refers to the practice of terminating a pregnancy based on the perceived genetic traits or characteristics of the fetus, such as disability, race, or sex. This phrase is often used in discussions about the ethics and morality of selective abortions, and it raises important questions about discrimination, reproductive rights, and medical ethics. It's worth noting that the vast majority of abortions are not performed for eugenic reasons, but rather due to a variety of personal, medical, and socioeconomic factors.
National Socialism, also known as Nazism, is not a medical term. It is a political ideology that originated in Germany in the early 20th century and was associated with the Nazi Party and its leader, Adolf Hitler. The ideology was characterized by extreme nationalism, racism, anti-Semitism, and totalitarianism.
While National Socialism is not a medical term, it has had significant impacts on the history of medicine, particularly during World War II when the Nazi regime implemented policies that led to the systematic persecution and murder of millions of people, including six million Jews in the Holocaust. The Nazi regime also conducted unethical medical experiments on prisoners in concentration camps, which have been widely condemned.
Therefore, while National Socialism is not a medical term, it is important for medical professionals to be aware of its historical context and the ways in which political ideologies can impact medical ethics and practice.
Genetic determinism is a philosophical concept that suggests that our genetic makeup is the sole determining factor for our traits, behaviors, and diseases. According to this perspective, our genes dictate our development, personality, health outcomes, and other aspects of our lives, with little or no influence from environmental factors or personal choices.
However, this view has been largely discredited by modern genetic research, which has shown that the relationship between genes and traits is much more complex than previously thought. Most traits are influenced by a combination of multiple genes (known as polygenic inheritance) and environmental factors, making it difficult to predict outcomes based solely on genetics.
It's important to note that while our genes can influence our risk for certain diseases or conditions, they do not determine our destiny. Lifestyle choices, environment, and other factors can also play a significant role in shaping our health and well-being.
Induced abortion is a medical procedure that intentionally terminates a pregnancy before the fetus can survive outside the womb. It can be performed either surgically or medically through the use of medications. The timing of an induced abortion is typically based on the gestational age of the pregnancy, with different methods used at different stages.
The most common surgical procedure for induced abortion is vacuum aspiration, which is usually performed during the first trimester (up to 12-13 weeks of gestation). This procedure involves dilating the cervix and using a vacuum device to remove the pregnancy tissue from the uterus. Other surgical procedures, such as dilation and evacuation (D&E), may be used in later stages of pregnancy.
Medical abortion involves the use of medications to induce the termination of a pregnancy. The most common regimen involves the use of two drugs: mifepristone and misoprostol. Mifepristone works by blocking the action of progesterone, a hormone necessary for maintaining pregnancy. Misoprostol causes the uterus to contract and expel the pregnancy tissue. This method is typically used during the first 10 weeks of gestation.
Induced abortion is a safe and common medical procedure, with low rates of complications when performed by trained healthcare providers in appropriate settings. Access to induced abortion varies widely around the world, with some countries restricting or prohibiting the practice entirely.
Reproductive sterilization is a surgical procedure that aims to prevent reproduction by making an individual unable to produce viable reproductive cells or preventing the union of sperm and egg. In males, this is often achieved through a vasectomy, which involves cutting and sealing the vas deferens, the tubes that carry sperm from the testicles to the urethra. In females, sterilization is typically performed via a procedure called tubal ligation, where the fallopian tubes are cut, tied, or sealed, preventing the egg from traveling from the ovaries to the uterus and blocking sperm from reaching the egg. These methods are considered permanent forms of contraception; however, in rare cases, reversals may be attempted with varying degrees of success.
Spontaneous abortion, also known as miscarriage, is the unintentional expulsion of a nonviable fetus from the uterus before the 20th week of gestation. It is a common complication of early pregnancy, with most miscarriages occurring during the first trimester. Spontaneous abortion can have various causes, including chromosomal abnormalities, maternal health conditions, infections, hormonal imbalances, and structural issues of the uterus or cervix. In many cases, the exact cause may remain unknown.
The symptoms of spontaneous abortion can vary but often include vaginal bleeding, which may range from light spotting to heavy bleeding; abdominal pain or cramping; and the passing of tissue or clots from the vagina. While some miscarriages occur suddenly and are immediately noticeable, others may progress slowly over several days or even weeks.
In medical practice, healthcare providers often use specific terminology to describe different stages and types of spontaneous abortion. For example:
* Threatened abortion: Vaginal bleeding during early pregnancy, but the cervix remains closed, and there is no evidence of fetal demise or passing of tissue.
* Inevitable abortion: Vaginal bleeding with an open cervix, indicating that a miscarriage is imminent or already in progress.
* Incomplete abortion: The expulsion of some but not all products of conception from the uterus, requiring medical intervention to remove any remaining tissue.
* Complete abortion: The successful passage of all products of conception from the uterus, often confirmed through an ultrasound or pelvic examination.
* Missed abortion: The death of a fetus in the uterus without any expulsion of the products of conception, which may be discovered during routine prenatal care.
* Septic abortion: A rare and life-threatening complication of spontaneous abortion characterized by infection of the products of conception and the surrounding tissues, requiring prompt medical attention and antibiotic treatment.
Healthcare providers typically monitor patients who experience a spontaneous abortion to ensure that all products of conception have been expelled and that there are no complications, such as infection or excessive bleeding. In some cases, medication or surgical intervention may be necessary to remove any remaining tissue or address other issues related to the miscarriage. Counseling and support services are often available for individuals and couples who experience a spontaneous abortion, as they may face emotional challenges and concerns about future pregnancies.
I. Definition:
An abortion in a veterinary context refers to the intentional or unintentional termination of pregnancy in a non-human animal before the fetus is capable of surviving outside of the uterus. This can occur spontaneously (known as a miscarriage) or be induced through medical intervention (induced abortion).
II. Common Causes:
Spontaneous abortions may result from genetic defects, hormonal imbalances, infections, exposure to toxins, trauma, or other maternal health issues. Induced abortions are typically performed for population control, humane reasons (such as preventing the birth of a severely deformed or non-viable fetus), or when the pregnancy poses a risk to the mother's health.
III. Methods:
Veterinarians may use various methods to induce abortion depending on the species, stage of gestation, and reason for the procedure. These can include administering drugs that stimulate uterine contractions (such as prostaglandins), physically removing the fetus through surgery (dilation and curettage or hysterectomy), or using techniques specific to certain animal species (e.g., intrauterine infusion of hypertonic saline in equids).
IV. Ethical Considerations:
The ethics surrounding veterinary abortions are complex and multifaceted, often involving considerations related to animal welfare, conservation, population management, and human-animal relationships. Veterinarians must weigh these factors carefully when deciding whether to perform an abortion and which method to use. In some cases, legal regulations may also influence the decision-making process.
V. Conclusion:
Abortion in veterinary medicine is a medical intervention that can be used to address various clinical scenarios, ranging from unintentional pregnancy loss to deliberate termination of pregnancy for humane or population control reasons. Ethical considerations play a significant role in the decision-making process surrounding veterinary abortions, and veterinarians must carefully evaluate each situation on a case-by-case basis.
A criminal abortion is an illegal abortion, which is a procedure performed with the intent to induce the termination of a pregnancy, carried out in violation of the law. In many jurisdictions, criminal abortions are defined as those performed outside of the legal parameters set forth by the relevant regulations, such as those that require the procedure to be performed by a licensed medical professional, within certain timeframes, and/or for specific reasons.
Criminal abortions may be motivated by various factors, including financial constraints, social stigma, or fear of repercussions. Engaging in criminal abortion practices can result in severe legal consequences, including fines, imprisonment, and in some cases, loss of medical license. It's important to note that the legality and accessibility of abortion vary significantly across different countries and regions, with varying restrictions and requirements.
If you require assistance or advice related to pregnancy termination, it is crucial to consult a licensed healthcare professional or a trusted reproductive health organization in your area to ensure that you receive accurate information and safe care within the legal framework of your jurisdiction.
A therapeutic abortion is the deliberate termination of a pregnancy before viability (the ability of the fetus to survive outside the womb), which is generally considered to be around 24 weeks of gestation. The term "therapeutic" is used to describe abortions that are performed for medical reasons, such as to protect the life or health of the pregnant individual, or in cases where the fetus has a severe abnormality and cannot survive outside the womb.
Therapeutic abortions may be recommended in situations where continuing the pregnancy poses a significant risk to the health or life of the pregnant individual. For example, if a pregnant person has a serious medical condition such as heart disease, cancer, or severe pre-eclampsia, continuing the pregnancy could worsen their condition and put them at risk of serious complications or even death. In these cases, a therapeutic abortion may be necessary to protect the health or life of the pregnant individual.
Therapeutic abortions may also be recommended in cases where the fetus has a severe abnormality that is not compatible with life outside the womb. For example, if the fetus has a condition such as anencephaly (a neural tube defect where the brain and skull do not form properly), or a chromosomal abnormality such as Trisomy 13 or 18, continuing the pregnancy may result in a stillbirth or a short, painful life for the infant after birth. In these cases, a therapeutic abortion may be considered a compassionate option to prevent unnecessary suffering.
It's important to note that the decision to undergo a therapeutic abortion is a deeply personal one, and should be made in consultation with medical professionals and trusted family members or support networks. Ultimately, the decision should be based on what is best for the physical and emotional health of the pregnant individual, taking into account their values, beliefs, and circumstances.
"Abortion applicants" is not a standard medical term. However, in general, it may refer to individuals who are seeking to have an abortion procedure performed. This could include people of any gender, although the vast majority of those seeking abortions are women or pregnant individuals. The term "abortion applicant" may be used in legal or administrative contexts to describe someone who is applying for a legal abortion, particularly in places where there are restrictions or requirements that must be met before an abortion can be performed. It is important to note that access to safe and legal abortion is a fundamental human right recognized by many international organizations and medical associations.
A "missed abortion" is a medical term used to describe a pregnancy in which the fetus has died or failed to develop, but the products of conception (i.e., the placenta and gestational sac) remain in the uterus. This condition is also sometimes referred to as a "silent miscarriage" or "delayed miscarriage." In a missed abortion, there may be no symptoms or only very mild ones, such as vaginal bleeding or the passing of tissue. The diagnosis is typically made through an ultrasound exam that shows an empty gestational sac or a non-viable fetus. Treatment options include waiting for the body to expel the products of conception naturally, taking medication to induce expulsion, or undergoing a surgical procedure to remove the products of conception.
Septic abortion is a medical term used to describe a spontaneous abortion or miscarriage that is associated with infection. This occurs when the products of conception, such as the fetal tissue and placenta, are not completely expelled from the uterus, leading to an infection of the uterine lining and potentially the pelvic cavity.
The infection can cause fever, chills, severe abdominal pain, foul-smelling vaginal discharge, and heavy bleeding. If left untreated, septic abortion can lead to serious complications such as sepsis, infertility, and even death. It is important to seek medical attention immediately if you suspect a septic abortion. Treatment typically involves antibiotics to clear the infection and possibly surgical intervention to remove any remaining products of conception.
The medical definition of "Habitual Abortion" refers to a woman who has three or more consecutive pregnancies that end in spontaneous miscarriages before 20 weeks of gestation. The cause of habitual abortions can be difficult to determine and may involve genetic, anatomical, hormonal, or immune system factors. Treatment is often aimed at addressing any underlying issues that may be contributing to the recurrent miscarriages. It's important to note that the terminology has changed over time and the term "recurrent pregnancy loss" is now more commonly used in place of "habitual abortion".
A "threatened abortion" is a medical term used to describe a situation in which there are symptoms that suggest an impending miscarriage, such as vaginal bleeding and/or cramping during early pregnancy, but the cervix remains closed and the fetal heartbeat is still present. This condition is estimated to occur in up to 20-30% of all pregnancies, and while it can be a source of anxiety for pregnant individuals, it does not necessarily mean that a miscarriage will definitely occur.
It's important to note that if you are experiencing any symptoms of a threatened abortion, you should contact your healthcare provider right away for evaluation and guidance on how to manage the situation. They may recommend bed rest, pelvic rest, or other treatments to help support the pregnancy and reduce the risk of miscarriage.
An abortifacient agent is a substance or drug that causes abortion by inducing the uterus to contract and expel a fetus. These agents can be chemical or herbal substances, and they work by interfering with the implantation of the fertilized egg in the uterine lining or by stimulating uterine contractions to expel the developing embryo or fetus.
Examples of abortifacient agents include misoprostol, mifepristone, and certain herbs such as pennyroyal, tansy, and black cohosh. It is important to note that the use of abortifacient agents can have serious health consequences, including infection, bleeding, and damage to the reproductive system. Therefore, it is essential to consult with a healthcare provider before using any abortifacient agent.
An incomplete abortion is a medical term used to describe a situation where a pregnancy is expelled or terminated spontaneously or induced, but only partially. This means that some of the products of conception (i.e., the fetus, placenta, and associated membranes) are retained within the uterus.
Incomplete abortions can be caused by various factors, including complications during a medical or surgical abortion, miscarriage, ectopic pregnancy, or infection. Symptoms of an incomplete abortion may include vaginal bleeding, abdominal pain, cramping, and the passage of tissue or clots.
Incomplete abortions are considered a medical emergency because they can lead to complications such as infection, hemorrhage, and infertility if left untreated. Treatment typically involves a surgical procedure called dilatation and curettage (D&C) to remove any remaining products of conception from the uterus. In some cases, medication may also be used to help complete the abortion and prevent infection.
An aborted fetus refers to a developing human organism that is expelled or removed from the uterus before it is viable, typically as a result of an induced abortion. An abortion is a medical procedure that intentionally ends a pregnancy and can be performed through various methods, depending on the stage of the pregnancy.
It's important to note that the term "abortion" is often used in different contexts and may carry different connotations depending on one's perspective. In medical terminology, an abortion refers specifically to the intentional ending of a pregnancy before viability. However, in other contexts, the term may be used more broadly to refer to any spontaneous or induced loss of a pregnancy, including miscarriages and stillbirths.
The definition of "viable" can vary, but it generally refers to the point at which a fetus can survive outside the uterus with medical assistance, typically around 24 weeks of gestation. Fetal viability is a complex issue that depends on many factors, including the availability and accessibility of medical technology and resources.
In summary, an aborted fetus is a developing human organism that is intentionally expelled or removed from the uterus before it is viable, typically as a result of a medical procedure called an abortion.
Abortifacient agents, steroidal, refer to a type of medication or substance that is capable of inducing abortion or causing the termination of pregnancy by interfering with the implantation and maintenance of the fertilized ovum (embryo) or the development of the placenta. Steroidal abortifacient agents are synthetic derivatives of steroids, which have a similar structure to naturally occurring hormones in the human body.
The most commonly used steroidal abortifacient agent is mifepristone, also known as RU-486. Mifepristone works by blocking the action of progesterone, a hormone that is essential for maintaining pregnancy. By blocking the action of progesterone, mifepristone causes the shedding of the uterine lining and the expulsion of the embryo or fetus from the uterus.
Steroidal abortifacient agents are typically used in the early stages of pregnancy, up to 10 weeks after the last menstrual period. They may be used alone or in combination with other medications, such as misoprostol, which helps to stimulate uterine contractions and expel the embryo or fetus from the uterus.
It is important to note that steroidal abortifacient agents are not the same as emergency contraceptives, which are used to prevent pregnancy after unprotected sexual intercourse. Steroidal abortifacient agents are intended for use in cases where pregnancy has already occurred and is unwanted or poses a risk to the health of the mother or fetus.
Misoprostol is a synthetic prostaglandin E1 analog used in obstetrics and gynecology to prevent and treat ulcers caused by nonsteroidal anti-inflammatory drugs (NSAIDs), reduce the risk of gastric ulcers in patients taking NSAIDs long term, induce labor, manage postpartum hemorrhage, and cause abortion. It is also used off-label for cervical ripening before gynecologic surgery and to treat miscarriage.
In addition, Misoprostol has been found to be effective in reducing the risk of gastric ulcers and NSAID-induced dyspepsia (upper abdominal pain or discomfort) in patients with rheumatoid arthritis and other inflammatory conditions who require long-term NSAID therapy.
It is important to note that Misoprostol should not be used during pregnancy unless under the supervision of a healthcare provider for specific medical indications, such as preventing or treating stomach ulcers in pregnant women taking NSAIDs or inducing labor. It can cause miscarriage and birth defects if taken during early pregnancy.