Medical abortion - is the termination of early pregnancy, which is caused by using drugs mifepristone and misoprostol. Such an abortion can be done until the ninth week of pregnancy.
In the first stage of the procedure the doctor gives you a pill mifepristone, and you take it orally in his presence. Then, over the next 24-72 hours, at home, you need to take the second drug - misoprostol. It causes contractions and miscarriage. The use of mifepristone and misoprostol is effective in 95-97% of cases.
How it works
Mifepristone blocks the production of progesterone
Progesterone - norm and pathology
Hormone, which is also known as "pregnancy hormone." Because of this the wall of the uterus can no longer hold the fruit begins to soften the cervix and may start bleeding. After six to eight hours after taking misoprostol abortion occurs directly, that is, the expulsion of the embryo from the uterus.
The woman herself decides exactly when to take misoprostol, and thus can control the course of the abortion.
At the doctor examine you using ultrasound to make sure that the pregnancy is less than eight weeks. The doctor will examine your medical history and if you decide that you can do medical abortion, describe in detail about the effects of mifepristone and misoprostol and answer your questions. When you take mifepristone, you will be given the package with four misoprostol pills - they need to be taken, as we have said, over the next 24-72 hours. If this dose will not cause a miscarriage, contact your doctor.
What to expect
Bleeding may begin immediately after taking mifepristone. Depending on the characteristics of bleeding are different: someone easy and quick passes, someone - a strong and long lasting. For most women, bleeding only starts after taking misoprostol.
Within twenty minutes may start cramping, go clotted blood. Cramps can be worn wavy character. Bleeding after medical abortion is usually stronger than after mini-abortion.
Two weeks after the abortion, you will need to be examined to ensure that the process is complete. If (although the probability of this is very small) at that time there was no miscarriage, you will vacuum aspiration
Vacuum aspiration - widely used method
Most of the side effects, which generally can be at medical abortion caused by a second pill, misoprostol
Misoprostol - indications for abortion
. Among the possible consequences of his admission: severe bleeding, headache, nausea, vomiting, diarrhea, cramps are very strong.
Vaginal bleeding after medical abortion
Bleeding after medical abortion: a real danger
It can be extremely strong. In rare cases, it may need to vacuum aspiration, and very rarely - a blood transfusion.
If after taking the drugs abort the pregnancy continued, at high risk for serious fetal defects.
Medical abortion can be done under the following conditions:
The gestational age of less than eight weeks.
- You have the ability to use the phone and / or vehicle and, if necessary, to ask for help.
- You do not live more than two hours away from the nearest hospital.
- You will be able to come to the survey after the abortion.
- You agree to a surgical abortion if the drugs do not work as expected.
Because of the risk of serious complications of medical abortion is not recommended in the following cases:
- Do you ever have a problem with blood clotting or you are taking anticoagulants
- Severe anemia
- Adrenal insufficiency
- Receiving systemic corticosteroids for a long time
- Suspected ectopic pregnancy
- The hereditary porphyria
- Allergy to mifepristone, misoprostol or other prostaglandin drugs
- Severe diarrhea
There is no evidence that mifepristone and misoprostol somehow affects subsequent pregnancies. So you can plan a pregnancy almost immediately after medical abortion.
Not to be confused with the preparations aborted pills for emergency contraception. The latter can not terminate an existing pregnancy already. They can be bought without a prescription. Mifepristone and misoprostol can be obtained only on prescription.