Contraindications for Medical aboions are all except:
**Core Concept**
Age is not a contraindication for medical abortion, but certain conditions and factors are considered contraindications due to the increased risk of complications or the potential for adverse effects on the patient. Medical abortion involves the use of medications to terminate pregnancy.
**Why the Correct Answer is Right**
The American College of Obstetricians and Gynecologists (ACOG) and the World Health Organization (WHO) do not consider age to be a contraindication for medical abortion. Women over 35 years of age can safely undergo medical abortion if they meet the necessary criteria and are monitored appropriately. In fact, medical abortion is often recommended for women over 35 years of age due to the lower risk of complications compared to surgical abortion. The decision to undergo medical abortion is typically based on the gestational age of the pregnancy, the presence of any medical conditions, and the patient's overall health.
**Why Each Wrong Option is Incorrect**
**Option B:** Hemoglobin levels below 8 gm% are actually a contraindication for medical abortion due to the risk of anemia and potential complications. Women with severe anemia should not undergo medical abortion unless they are closely monitored and receive adequate iron supplements.
**Option C:** An undiagnosed adnexal mass can be a contraindication for medical abortion due to the potential for ectopic pregnancy. The presence of an adnexal mass should be investigated before proceeding with medical abortion.
**Option D:** Uncontrolled seizure disorder is a contraindication for medical abortion due to the potential for the medication to exacerbate seizures. Women with a history of seizure disorder should not undergo medical abortion unless their condition is well-controlled.
**Clinical Pearl / High-Yield Fact**
Women undergoing medical abortion should be closely monitored for signs of complications, including bleeding, infection, and retained products of conception. Regular follow-up appointments and adequate counseling are essential to ensure a safe and successful outcome.
**β Correct Answer: A. Age more than 35 years**