아니요. 임신중지약 복용 전에 초음파 검사는 필요하지 않습니다. 대부분의 사람들은 스스로 임신 기간을 추정할 수 있습니다. 임신기간을 확인하기 위해 초음파 검사가 필요하지 않습니다.
다음과 같은 경우에는 초음파 검사를 이용해 임신 기간을 확인하는게 좋습니다:
- 지난 3번의 생리 주기가 불규칙한 경우
- 모유 수유 중이며 아직 생리가 돌아오지 않은 경우
- 호르몬 피임법을 사용하는 경우
- 생리 주기가 규칙적이라면, 임신중지약 복약 전에 초음파 검사가 필요하지 않습니다.
일부 사람들은 임신중지약 복약 전 초음파 검사를 하는 것을 선호합니다. 초음파 검사가 꼭 필요하지는 않지만 초음파 검사를 받고싶다면 당연히 받으셔도 됩니다.
참고 문헌
- World Health Organization. 2022. Abortion Care Guideline. https://apps.who.int/iris/handle/10665/349316
- World Health Organization. 2023. Clinical Practice Handbook for Quality Abortion Care. https://www.who.int/publications/i/item/9789240075207
- Duncan, Clara I., John J. Reynolds-Wright, and Sharon T. Cameron. 2022. ‘Utility of a Routine Ultrasound for Detection of Ectopic Pregnancies among Women Requesting Abortion: A Retrospective Review’. BMJ Sexual and Reproductive Health 48 (1): 22–27. https://doi.org/10.1136/bmjsrh-2020-200888
- Raymond, Elizabeth G., Daniel Grossman, Alice Mark, Ushma D. Upadhyay, Gillian Dean, Mitchell D. Creinin, Leah Coplon, et al. 2020. ‘Commentary: No-Test Medication Abortion: A Sample Protocol for Increasing Access during a Pandemic and Beyond’. Contraception 101 (6): 361–66. https://doi.org/10.1016/j.contraception.2020.04.005
- Schonberg, Dana, Lin Fan Wang, Ariana H. Bennett, Marji Gold, and Emily Jackson. 2014. ‘The Accuracy of Using Last Menstrual Period to Determine Gestational Age for First Trimester Medication Abortion: A Systematic Review’. Contraception 90 (5): 480–87. https://doi.org/10.1016/j.contraception.2014.07.004
- Saavedra-Avendano, B, R Schiavon, P Sanhueza-Smith, R Rios-Polanco, L Garcia-Martinez, and BG Darney. 2017. ‘Assessment of Gestational Age among Women Seeking First-Trimester Abortion in Mexico City: A Comparison of Last Menstrual Period and Ultrasonography Estimation’. Contraception 96 (4): 277. https://doi.org/10.1016/j.contraception.2017.07.059
- Raymond, Elizabeth G., and Hillary Bracken. 2015. ‘Early Medical Abortion without Prior Ultrasound’. Contraception 92 (3): 212–14. https://doi.org/10.1016/j.contraception.2015.04.008
- Bracken, H., W. Clark, E. S. Lichtenberg, S. M. Schweikert, J. Tanenhaus, A. Barajas, L. Alpert, and B. Winikoff. 2011. ‘Alternatives to Routine Ultrasound for Eligibility Assessment Prior to Early Termination of Pregnancy with Mifepristone-Misoprostol’. BJOG: An International Journal of Obstetrics and Gynaecology 118 (1): 17–23. https://doi.org/10.1111/j.1471-0528.2010.02753.x
- Aiken, Ara, Pa Lohr, J Lord, N Ghosh, and J Starling. 2021. ‘Effectiveness, Safety and Acceptability of No‐test Medical Abortion (Termination of Pregnancy) Provided via Telemedicine: A National Cohort Study’. BJOG: An International Journal of Obstetrics & Gynaecology 128 (9): 1464–74. https://doi.org/10.1111/1471-0528.16668
