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DA Grimes, J Benson, S Singh, M Romero

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Medical abortion by Misoprostol (MO) (Cytotec*)<br />

in Brazil<br />

• MO (prostaglandin) introduced in Brazil in 1986, rapidlly became available over the counter<br />

• Women recognised its ective abortifacient properties and began to use the drug<br />

• They self-administer the drug orally; seeking medic assistance in case of uterine bleeding<br />

• By 1990, 70% of women treated in hospital for abortion complications in reported use of<br />

MO. This led the MoHof Brazil to restrict its sale in 1991. Some states banned the drug.<br />

• However, restricting did not prevent the use : MO remained available at higher prices on<br />

the black market. Consequently, in some states of Brazil, abortion complications increased<br />

and abortion-related deaths tripled after MO restriction.<br />

• MO globally the severity of UA complications, and the hospital admissions: previously,<br />

foreign bodies inserted into the cervix, caused bleeding urging curettage & infection<br />

• The wide use of MO for abortion has been associated with improved health for women.<br />

• Women have widely accepted medical abortion because of it is similar to spontaneous<br />

abortion.<br />

IFMT-MS.Sémin.Mère-<br />

Enft.déc.2006<br />

14

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