The Elaboration of Methodological Guideline on Medical Abortion
As a result of consistent work of Women's Rights Center, RA Ministry of Health confirmed elaboration and implementation of clinical guideline for obstetrician - gynecologists on Medical Abortion due to the decree made on June 15, 2010.
With the aim of elaboration of guideline a Working Group has been formed under the supervision of Dr. Gayane Avagyan, (Maternal and Child Health Care Department of the RA Ministry of Health). The Guideline has been prepared with joint efforts of doctor-investigators: Dr. Ruzanna Abrahamyan (Institute of Perinatology, Obstetrics and Gynecology), Dr. Astghik Zargaryan (Center of Family Planning and Sexual Health) and Dr. Armine Harutyunyan (State Medical University and Polyclinic N. 8).
The core of the guideline is providing the general information on how to prepare the pregnant women to Medical Abortion procedures, the methods of consultations on use of contraceptives, the preferences of doctors to use certain methods, etc. In the guideline also presented the detailed demonstration of organization and implementation of Medial Abortion including the regimes, dozes, types, the timelines for applying, the schedule of visits to clinics and follow up control in case the side effects or complications appeared during the abortion implementation. Introduction of present situation of artificial abortion in Armenia is also included in the guideline.
Travel to research sites
On May 24, 2011 during the travel to research sites Vanadzor Hospital N 1 and Gyumri Maternity Home were visited. The project coordinator Susanna Vardanyan examined all completed cases in Vanadzor. Some of the questions concerning the research were discussed, such as:
- if there has been double usage of medical abortion,
- if any surgical interventions have occurred during the monitoring period,
- prolongation of the project,
- passing medical investigation with women with 8-12 weeks pregnancy and so on.
The doctors mentioned that women-patients were satisfied with medical abortion very much. But they also raised an issue of women using medicaments at home without previous consultations with doctors and often returning to the hospital with profuse bleeding. The doctors also offered to discuss the issue at the RA Ministry of Health in order to sell the medicament only by doctor's prescription.
In Gyumri S. Vardanyan examined all completed cases. According to the results women preferred medical abortion to surgical. However, there were also some cases when after usage of medicaments women had severe pain, fever or unpleasant feelings while the medicament was resolving (nearly 30 minutes).