This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Obstetrics, Subject name: Gynaecology & Obstetrics
A 19-yrs-old woman desires an MTP at 6 weeks of pregnancy . Which of the following is an appropriate procedure to perform this MTP ? 
Select and explain. 
A. Dilation and curretage, B. Hypeonic extra-amniotic saline infusion, C. Suction and evacuation, D. 15-methyl Beta-prostaglandin injection
C: Suction and evacuation
Answer: C: Suction and evacuation 
Explanation: In the given case choices, suction and evacuation is the preferred technique for first trimester aboions. Medical methods like Mifepristone followed by misoprostal can be used and its 99% effective in the first 7 weeks of pregnancy. Would have been a better answer if it was mentioned in the choices here Dilation and curettage- can be done but since there is curettage involved, there is an inherent risk of Asherman's syndrome.Hence avoided for such early gestation Hypeonic saline infusion-Though not in regular use in most hospitals due to concerns of Amniotic Fluid embolism, its done for second trimester aboion. Prostaglandins - done for termination of pregnancy > 12 weeks Pregnancy gestation where its the drug of choice.