INDICATIONS FOR SONOGRAPHY FOR MEDICATION ABORTION

Pre-abortion:
  1. Size/dates discrepancy
  2. Uncertain LMP (or no menses - after delivery, abortion, stopping hormonal contraception, etc)
  3. Adnexal mass or pain
  4. LMP at the end of a course of hormonal contraception
  5. Provider uncertainty with exam
  6. History of previous ectopic pregnancy

Post-abortion:
  1. History not consistent with successful medication abortion (no bleeding, no cramping)
  2. Woman still feels pregnant
  3. Serum Hcg not declining
  4. Provider uncertainty with history