PIN : DCADA487
{{refimprove|date=Januari 2017}}
WA. : 085868626944
{{Infobox medical condition
Penjual Cytotec Terpercaya Jual Cytotec Asli Obat Aborsi Alami
| Name = Abortus provokatus
Jual Cytotec Terpercaya jual cytotec asli obat aborsi cytotec yang aman tanpa efek samping berkepanjanagan obat cytotec atau obat resep ini di gunakan untuk obat penggugur kandungan alami oleh para dokter. Cara ini paling bisa diterima, karena praktis tidak menimbulkan komplikasi dan jauh lebih mudah, dari sudut pandang psikologis, untuk dibawa oleh wanita itu sendiri.
| Image =
| Caption =
| Field = [[Obstetri]] dan [[ginekologi]]
| ICD10 = {{ICD10|O|04||o|00}}
| ICD9 = {{ICD9|779.6}}
| DiseasesDB = 4153
| ICDO =
| OMIM =
| MedlinePlus = 002912
| eMedicineSubj = article
| eMedicineTopic = 252560
| MeshID=D000028
}}
<!-- Terminology -->
'''Pengguguran kandungan''' atau '''aborsi''' ({{lang-la|'''abortus'''}}) adalah berakhirnya [[kehamilan]] dengan dikeluarkannya [[janin]] (fetus) atau [[embrio]] sebelum memiliki kemampuan untuk [[viabilitas janin|bertahan hidup di luar rahim]], sehingga mengakibatkan kematiannya.<ref name="definition" group="note" /> Aborsi yang terjadi secara spontan disebut juga "[[keguguran]]". Aborsi yang dilakukan secara sengaja seringkali disebut "aborsi induksi" atau "abortus provokatus". Kata ''aborsi'' umumnya hanya digunakan dalam pengertian abortus provokatus. Prosedur serupa yang dilakukan setelah janin berpotensi untuk bertahan hidup di luar rahim juga dikenal dengan sebutan "[[aborsi tahap akhir]]".<ref>{{cite journal|last1=Grimes|first1=DA |last2=Stuart |first2=G |title=Abortion jabberwocky: the need for better terminology |journal=Contraception |year=2010 |volume=81 |issue=2 |pages=93–6 |pmid=20103443 |doi=10.1016/j.contraception.2009.09.005}}</ref>
Jual Cytotec Terpercaya Jual Cytotec Asli Misoprostol 200mcg.
<!-- Methods and safety -->
Penjual cytotec obat apa yang digunakan dalam penghentian aborsi medis dini?
Dikatakan bahwa aborsi di negara-[[negara maju]] yang mengizinkannya merupakan salah satu prosedur medis yang paling aman dalam bidang kedokteran.<ref name="lancet-grimes">{{Cite journal |last1=Grimes |first1=DA |last2=Benson |first2=J |last3=Singh |first3=S |last4=Romero |first4=M |last5=Ganatra |first5=B |last6=Okonofua |first6=FE |last7=Shah |first7=IH |doi=10.1016/S0140-6736(06)69481-6 |title=Unsafe abortion: The preventable pandemic |journal=The Lancet |volume=368 |issue=9550 |pages=1908–1919 |year=2006 |pmid=17126724 |url=http://www.who.int/reproductivehealth/publications/general/lancet_4.pdf |format=PDF}}</ref><ref name="Ray2014">{{cite journal |last1=Raymond |first1=EG |last2=Grossman |first2=D |last3=Weaver |first3=MA |last4=Toti |first4=S |last5=Winikoff |first5=B |title=Mortality of induced abortion, other outpatient surgical procedures and common activities in the United States |journal=Contraception |date=November 2014 |volume=90 |issue=5 |pages=476–479 |pmid=25152259 |doi=10.1016/j.contraception.2014.07.012}}</ref> Metode-metode modern memanfaatkan obat atau bedah dalam pelaksanaan aborsi.<ref name=1st_Methods>{{cite journal |last1=Kulier |first1=R |last2=Kapp |first2=N |last3=Gülmezoglu |first3=AM |last4=Hofmeyr |first4=GJ |last5=Cheng |first5=L |last6=Campana |first6=A |title=Medical methods for first trimester abortion. |journal=Cochrane Database of Systematic Reviews |date=9 November 2011 |issue=11 |pages=CD002855 |pmid=22071804 |doi=10.1002/14651858.CD002855.pub4}}</ref> Obat mifepriston dikombinasikan dengan [[prostaglandin]] kemungkinan sama aman dan efektifnya dengan bedah selama trimester pertama dan kedua kehamilan.<ref name=1st_Methods/><ref name=Kapp2013/> [[Pengaturan kelahiran]], seperti pil atau [[Intrauterine device (IUD)|alat intrauterin]], mungkin saja digunakan segera setelah aborsi.<ref name=Kapp2013>{{cite journal|last1=Kapp |first1=N |last2=Whyte |first2=P |last3=Tang |first3=J |last4=Jackson |first4=E |last5=Brahmi |first5=D |title=A review of evidence for safe abortion care |journal=Contraception |date=September 2013 |volume=88 |issue=3 |pages=350–63 |pmid=23261233 |doi=10.1016/j.contraception.2012.10.027}}</ref> Dilaporkan bahwa abortus provokatus, jika dilakukan secara aman dan legal, tidak meningkatkan risiko terkait masalah fisik ataupun [[kesehatan mental|mental]] pada jangka panjang.<ref name=BMJ2014/> Sebaliknya, aborsi yang tidak aman mengakibatkan 47.000 [[kematian maternal|kematian]] dan 5 juta kasus perawatan di rumah sakit setiap tahunnya.<ref name=BMJ2014>{{Cite journal |last1=Lohr |first1=PA |last2=Fjerstad |first2=M |last3=Desilva |first3=U |last4=Lyus |first4=R |title=Abortion |journal = BMJ | volume = 348 | page = f7553 | year = 2014 | doi = 10.1136/bmj.f7553}}</ref><ref name="OBGY09">{{Cite journal|last1=Shah |first1=I |last2=Ahman |first2=E |title=Unsafe abortion: global and regional incidence, trends, consequences, and challenges |journal=Journal of Obstetrics and Gynaecology Canada |volume=31 |issue=12 |pages=1149–58 |date=December 2009 |pmid=20085681 |url=http://www.sogc.org/jogc/abstracts/full/200912_WomensHealth_1.pdf |format=PDF |deadurl=yes |archiveurl=https://web.archive.org/web/20110716212405/http://www.sogc.org/jogc/abstracts/full/200912_WomensHealth_1.pdf |archivedate=16 July 2011 |df=dmy }}</ref> [[Organisasi Kesehatan Dunia]] merekomendasikan tersedianya aborsi yang aman dan legal bagi semua wanita.<ref name=WHOPolicy2012>{{cite book |author=World Health Organization |title=Safe abortion: technical and policy guidance for health systems |date=2012 |publisher=World Health Organization |location=Geneva |isbn=9789241548434 |page=8 |edition=2nd |url=http://apps.who.int/iris/bitstream/10665/70914/1/9789241548434_eng.pdf?ua=1 |format=PDF}}</ref>
Obat cytotec sampai saat ini, ada banyak obat untuk aborsi pada awal kehamilan. Paling sering, metode aborsi dini digunakan seperti obat cytotec asli misoprostol produk FDA USA yang sudah teruji secara clinis hasil 100% gugur dan tuntas.
<!-- Epidemiology -->
Sekitar 56 juta aborsi terjadi setiap tahunnya di seluruh dunia,<ref>{{cite journal|last1=Sedgh|first1=Gilda|last2=Bearak|first2=Jonathan|last3=Singh|first3=Susheela|last4=Bankole|first4=Akinrinola|last5=Popinchalk|first5=Anna|last6=Ganatra|first6=Bela|last7=Rossier|first7=Clémentine|last8=Gerdts|first8=Caitlin|last9=Tunçalp|first9=Özge|last10=Johnson|first10=Brooke Ronald|last11=Johnston|first11=Heidi Bart|last12=Alkema|first12=Leontine|title=Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends|journal=The Lancet|date=May 2016|doi=10.1016/S0140-6736(16)30380-4}}</ref> dengan hampir setengahnya dilakukan secara tidak aman.<ref name="Sedgh 2012">{{Cite journal |last1=Sedgh |first1=G. |last2=Singh |first2=S. |last3=Shah |first3=I. H. |last4=Åhman |first4=E. |last5=Henshaw |first5=S. K. |last6=Bankole |first6=A. |doi=10.1016/S0140-6736(11)61786-8 |title=Induced abortion: Incidence and trends worldwide from 1995 to 2008 |journal=The Lancet |volume=379 |issue=9816 |pages=625–632 |year=2012 |pmid=22264435 |url=http://www.guttmacher.org/pubs/journals/Sedgh-Lancet-2012-01.pdf |format=PDF |quote=Because few of the abortion estimates were based on studies of random samples of women, and because we did not use a model-based approach to estimate abortion incidence, it was not possible to compute confidence intervals based on standard errors around the estimates. Drawing on the information available on the accuracy and precision of abortion estimates that were used to develop the subregional, regional, and worldwide rates, we computed intervals of certainty around these rates (webappendix). We computed wider intervals for unsafe abortion rates than for safe abortion rates. The basis for these intervals included published and unpublished assessments of abortion reporting in countries with liberal laws, recently published studies of national unsafe abortion, and high and low estimates of the numbers of unsafe abortion developed by WHO.}}</ref> Angka atau tingkat aborsi hanya berubah sedikit antara tahun 2003 dan 2008,<ref name="Sedgh 2012" /> setelah sebelumnya mengalami penurunan selama setidaknya dua dasawarsa karena meningkatnya akses atas pengendalian kelahiran dan [[keluarga berencana]].<ref name="worldtrends2007">{{Cite journal |vauthors=Sedgh G, Henshaw SK, Singh S, Bankole A, Drescher J |title=Legal abortion worldwide: incidence and recent trends |journal=Int Fam Plan Perspect |volume=33 |issue=3 |pages=106–116 |date=September 2007 |pmid=17938093 |doi=10.1363/ifpp.33.106.07 |url=http://www.guttmacher.org/pubs/journals/3310607.html}}</ref> Pada tahun 2008, 40% wanita di seluruh dunia memiliki akses untuk melakukan aborsi secara legal tanpa batasan tertentu sebagai alasan.<ref name=IJGO10/> Setiap negara yang mengizinkan aborsi memiliki batasan berbeda mengenai seberapa terlambat aborsi kehamilan diperbolehkan.<ref name=IJGO10>{{Cite journal|vauthors=Culwell KR, Vekemans M, de Silva U, Hurwitz M |title=Critical gaps in universal access to reproductive health: Contraception and prevention of unsafe abortion |journal=International Journal of Gynecology & Obstetrics |volume=110 |pages=S13–16 |date=July 2010 |pmid=20451196 |doi=10.1016/j.ijgo.2010.04.003}}</ref>
<!-- History, society and culture -->
Sejak zaman kuno, aborsi telah dilakukan dengan menggunakan obat-obatan herbal, benda-benda tajam, dengan [[cedera|paksaan]], atau juga [[ramuan tradisional|metode-metode tradisional]] lainnya.<ref name="Management of Abortion, Chp 1">{{cite book|chapter=1. Abortion and medicine: A sociopolitical history|isbn=978-1-4443-1293-5|publisher=[[John Wiley & Sons, Ltd.]]|year=2009|location=[[Oxford, United Kingdom]]|title=Management of Unintended and Abnormal Pregnancy|edition=1st|editors=M Paul, ES Lichtenberg, L Borgatta, DA Grimes, PG Stubblefield, MD Creinin |first=Carole |last=Joffe |url=http://media.wiley.com/product_data/excerpt/62/14051769/1405176962.pdf |format=PDF |archiveurl=http://www.webcitation.org/62bppK1Iw?url=http://media.wiley.com/product_data/excerpt/62/14051769/1405176962.pdf |archivedate=21 October 2011 |deadurl=no}}</ref> Terdapat perbedaan [[hukum aborsi]] dan [[agama dan aborsi|pandangan agama]] ataupun budaya di seluruh dunia. Di beberapa wilayah hukum, aborsi dilegalkan dalam kasus tertentu seperti pemerkosaan, [[kelainan bawaan|masalah pada janin]], [[status sosial ekonomi|kemiskinan]], risiko pada kesehatan sang ibu, ataupun [[inses]].<ref name="Dev98-07">{{Cite journal|last1=Boland |first1=R. |last2=Katzive |first2=L. |doi=10.1363/ifpp.34.110.08 |title=Developments in Laws on Induced Abortion: 1998–2007 |journal=International Family Planning Perspectives |volume=34 |issue=3 |pages=110–120 |year=2008 |pmid=18957353 |url=http://www.guttmacher.org/pubs/journals/3411008.html}}</ref> Di berbagai daerah di dunia terjadi banyak [[perdebatan aborsi|perdebatan]] terkait isu moral, etika, dan hukum dalam hal aborsi.<ref>{{cite book|last1=Nixon|first1=edited by Frederick Adolf Paola, Robert Walker, Lois LaCivita|title=Medical ethics and humanities|date=2010|publisher=Jones and Bartlett Publishers|location=Sudbury, Mass.|isbn=9780763760632|page=249|url=https://books.google.ca/books?id=9pM2pw-2wl4C&pg=PA249}}</ref><ref>{{cite book|last1=Johnstone|first1=Megan-Jane|title=Bioethics a nursing perspective|date=2009|publisher=Churchill Livingstone/Elsevier|location=Sydney, N.S.W.|isbn=9780729578738|page=228|edition=5th|url=https://books.google.ca/books?id=EG-Yg1xDYakC&pg=PA228|quote=Although abortion has been legal in many countries for several decades now, its moral permissibilities continues to be the subject of heated public debate.}}</ref> Mereka yang [[gerakan antiaborsi|menentang aborsi]] umumnya bersikukuh bahwa embrio ataupun janin adalah seorang pribadi manusia dengan [[hak untuk hidup]] dan mereka menyamakan aborsi dengan [[pembunuhan]].<ref>{{Cite news|author=Pastor Mark Driscoll |title=What do 55 million people have in common? |publisher=Fox News |date=18 October 2013 |accessdate=2 July 2014 |url=http://www.foxnews.com/opinion/2013/10/18/what-do-55-million-people-have-in-common/}}</ref><ref>{{Cite news|first=Dale|last=Hansen |title=Abortion: Murder, or Medical Procedure? |publisher=Huffington Post |date=18 March 2014 |accessdate=2 July 2014 |url=http://www.huffingtonpost.com/dale-hansen/abortion-murder-or-medica_b_4986637.html}}</ref> Sedangkan mereka yang mendukung legalitas aborsi umumnya berpandangan bahwa seorang wanita memiliki hak untuk mengambil keputusan atas tubuhnya sendiri.<ref>{{cite book|last1=Sifris|first1=Ronli Noa|title=Reproductive Freedom, Torture and International Human Rights Challenging the Masculinisation of Torture.|date=2013|publisher=Taylor and Francis|location=Hoboken|isbn=9781135115227|page=3|url=https://books.google.com/books?id=9pVWAgAAQBAJ&pg=PA3}}</ref>
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[[Berkas:Karmawibbhangga abortus.jpg|thumb|200px|Adegan abortus pada relief Candi Borobudur (abad ke-9)]]
== Pengaturan oleh pemerintah Indonesia ==
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