5. Complementary studies In most cases, professionals only need the information obtained through the anamnesis and physical examination to confirm the pregnancy and estimate its duration (WHO, 2012). However, in each case in particular and based on the data obtained in the HC and the physical examination, the need to request additional tests will be evaluated. Bear in mind that this cannot be a requirement or the impossibility of executing them an obstacle to the completion of the interruption.
5.2. Ultrasound Although ultrasound is not considered a routine study to perform an ILE, if it is available it can help define gestational age, rule out an ectopic pregnancy and diagnose other pathologies or the infeasibility of the pregnancy. It is recommended to rule out the presence of an ectopic pregnancy using ultrasound, especially in women with a history of tubal surgery, the presence of an IUD, an ectopic pregnancy or a suspicious physical examination (IPAS 2013). In the case of ultrasound, the woman should be asked if she wants to see her image or hear the heartbeat. If she does not want it, it is extremely important to take the necessary precautions so that this does not happen. At the same time, if possible, facilitate different areas where those women who seek an interruption from those who receive prenatal care can be evaluated separately.
Protocol for the comprehensive care of people with the right to legal interruption of pregnancy 30
• Antibiotic prophylaxis and pain management. • Uterine evacuation therapeutic options: misoprostol and vacuum aspiration. • Indications for discharge.
As mentioned, the therapeutic options to perform an ILE depend on the gestational age, the desire of the woman and the possibilities of the healthcare center. It is essential to carry out adequate prior counseling in which the different possibilities are explained, so that the person can make their decision based on complete information. As these are generally low-complexity procedures, care for women who require an ILE can be performed at the first level of care and on an outpatient basis. However, it is necessary to provide comprehensive care for ILEs at all levels of the health system to care for women who present eventual complications, are in more advanced stages of pregnancy or when there is a health commitment and it is convenient to carry out the procedure under strict medical supervision.