by Dr. Seema Alavi on May 11, 2011 at 1:21 PM
Medical abortion using mifepristone alone or with
prostaglandins is becoming a common practice with adult females and adolescent
With an increase in the number
of teenage pregnancies, the risk of complications of this procedure in the
adolescent subgroup needs to be especially assessed and compared with that in
Keeping this in mind, a study was carried out which
compared the risk of side effects of medical abortions between adolescents and
adult females in Finland during the 2000 - 2006 time period. The study used data from the National
Abortion Register. Incidence of short -
term complications like bleeding, infection, incomplete abortion, need for
surgical evacuation, psychiatric morbidity, injury, increased clot formation,
and death were noted. The study observed that between the years 2000 and 2006,
around 3024 adolescents and 24 006 adults had undergone one medical abortion at the least.
for complications like bleeding, incomplete abortion and the need for
subsequent surgical evacuation were significantly higher in the adult female
group as compared to the adolescent group.
authors also found that the risk of infection post-medical abortion was not
related to the presence of Chlamydia in the genital tract.
significant jeopardizing entity responsible for infection, incomplete abortion
and surgical evacuation was found to be gestational duration.
conclude, medical abortion was found to be a safe option in adolescent females
when compared with adults, since the adverse aftermaths associated with medical
abortion were found to be identical or less in adolescent girls as compared to
The study-"Comparison of rates of adverse events in adolescent and adult women undergoing
medical abortion: population register based study." was conducted by Mark J Bolland, Andrew Grey, Alison Avenell, Greg D Gamble, and Ian R Reid. It was published
2011; 342:d2111 doi:10.1136/bmj.d2111; 20th