Almost all medical manipulations are fraught with danger. One of the most dangerous medical procedures is considered to be abortion. Perform medical abortion
Medical abortion - be wary of the ordinary
There are several ways. These include vacuum aspiration (mini-abortion), surgical curettage
Scraping - heavy and unsafe procedure
removal of the uterus and ovum, and, of course, medical abortion. Despite the relative safety and minimal risk of complications of medical abortion has certain contraindications. Some contraindications to medical abortion intersects with contraindications for other types of abortion and the others are "individual" character.
What is medication abortion
Medical or non-surgical abortion is performed using pharmacological agents, the action of which is based on the expulsion of the ovum from the uterus (miscarriage). To conduct medical termination of pregnancy using such drugs as: Mifegin, Penkrafton, Mifolian and others. The active ingredient in these medicines is mifepristone. Mifepristone blocks the action of gormona-- - progesterone
Progesterone - norm and pathology
Who is responsible for the preservation and development of pregnancy. In addition, Mifepristone causes contractions of the uterus by increasing its sensitivity to the muscle layer of prostaglandins. Due to a change in the lining of the uterus is rejected fetus from her walls, and enhanced uterine contractions push the ovum outside.
Contraindications to medical abortion
Any interruption of pregnancy is harmful to the body, and often irreparable. Medical abortion - it is a powerful hormonal effects on the reproductive and endocrine system of women. Therefore, before you decide on a pharmacological abortion, a woman must become familiar with its possible complications and consequences. Before abortion doctor conducts a thorough examination of the patient, appoints a pelvic ultrasound and laboratory tests. The survey often identifies contraindications to medical abortion. They can be either absolute (absolutely not) and relative (possible, but with caution).
It is strictly forbidden pharmacological abortion in the following cases:
- Suspected ectopic pregnancy
Ectopic pregnancy - a dangerous condition that requires emergency surgery. Suspected ectopic pregnancy is an absolute contraindication to medical abortion, as in the case of the presence of mifepristone can lead to irreversible consequences and even death. Hormonal effects on the uterus and tubes causes them increased reduction, which may result in rupture of the fallopian tube and massive bleeding.
If the diagnosis is: "Pregnancy" is not confirmed by pelvic examination and ultrasound, conducting pharmacological abortion is contraindicated, since receiving a loading dose of mifepristone may lead to severe hormonal disorders, until the development of infertility.
- Acute gynecological inflammatory diseases
Acute inflammation of the female genitalia as an absolute contraindication to medical abortion. After removal of the ovum from the uterus and its mucosa is an open wound surface, which is an excellent springboard for the colonization of pathogenic microbes.
- Heavy extragenital pathology
Diseases such as decompensated diabetes
Diabetes - threatening and incurable disease
, Kidney and liver failure, as well as adrenal insufficiency are absolute contraindications to medical abortion. This is primarily due to the severe hormonal disorders in the body that can aggravate mifepristone. Secondly, in these diseases is a delay in the body fluid, whereby the removal of toxic substances is hampered, which can lead to the development of inflammatory processes and even sepsis (blood infection).
- Bronchial asthma, bronchitis and other bronchopulmonary diseases in exacerbation.
- Pronounced allergic reactions.
- Blood diseases.
Violation of coagulation (hemophilia) and other diseases (anemia) are also considered absolute contraindications to medical abortion. Long-spotting after mifepristone may lead to the weighting of the patient's state and profuse bleeding.
In the presence of certain features to terminate a pregnancy is not desirable pharmacological means, but possible. These include:
- a scar on the uterus (cesarean section, myomectomy);
- uterine fibroids small size;
- pregnancy with an intrauterine device;
- pregnancy on the background of hormonal contraception.