Medical abortion is today recognized as one of the safest methods of abortion. Compared with surgical abortion risk of complications during pharmacological abortion is minimal. And, yet, frequently after medical abortion uterine bleeding occurs. Bleeding after medical abortion vary in intensity and duration of each woman. A great danger is massive bleeding, which can occur at different time intervals after receiving "abortive" tablets. Such bleeding requires immediate treatment to the doctor and to take urgent measures to stop it.
Methods of medical abortion
Medical (pharmacological or medicinal) abortion is non-surgical method of abortion. After passing the necessary tests, a pelvic exam
Gynecological examination: an important component of women's health
and ultrasound woman offering a drink special medication, which includes the active ingredient Mifepristone, an abortifacient effect.
Mifepristone, adopted at a dose of 600 micrograms, blocks the action of progesterone
Progesterone - norm and pathology
Who is responsible for maintaining pregnancy. In addition, Mifepristone increase the sensitivity of the muscle layer of the uterus to prostaglandins, causing contractions. The drug is carried out in a doctor's office and under his control.
Approximately half of the women within two hours after ingestion of mifepristone begin spotting and abortions (like abortion).
Abortifacient action of mifepristone causes a spasm of blood vessels in the placenta, the embryo does not enter the blood, resulting in the rejection of the ovum with the decidual layer of the endometrium, resulting in bleeding.
Normal bleeding after medical abortion
As noted above, common standards bleeding time after administration of the drug preparation is not abortion, they are unique for each woman. Equally important in the duration of the bleeding is and the period for which pregnancy is terminated. The smaller the period of the delay menstruation, the easier it flows medical abortion and shorter spotting
Spotting - it is important to rule out pathology
. This is due to the fact that in a small pregnancy ovum still not firmly entrenched in the uterine cavity, and the body has not yet caused a serious hormonal changes.
Typically, spotting begins within two hours after administration of the drug. You may experience bleeding 36-48 hours. Normally spotting mild, painless and somewhat painful and remind menstruation. "Menstrualnopodobnoe" bleeding lasts no more than two days, then decrease spotting and reminiscent of the "scribble". Spotting usually last no more than ten - fifteen days, but maybe a longer duration, until the next menstrual period.
Cessation of bleeding in the first days after mifepristone indicates spasms of the cervical canal and the development hematometra (accumulation of blood in the uterus).
Unfortunately, not all bleeding, which appear after a medical abortion can be attributed to normal. At 0, 1-0, 2 per cent of cases there is a very strong uterine bleeding. Bleeding is so massive that for two hours a woman is forced to change three or more pads. Such bleeding is life-threatening and can occur for three reasons:
- massive hormonal drugs that violates uterine activity;
- violation of the blood coagulation system is not diagnosed before the abortion;
- incomplete abortion (remnants of fetal eggs in the uterus).
Heavy bleeding leads to weakness of women, she noted pale skin, rapid pulse, possible unconsciousness. When expressed bleeding should immediately call an ambulance. Treatment of uterine bleeding is to appoint intravenously and intramuscularly and shorten hemostatic drugs. In the absence of effect of conservative therapy performed curettage
Scraping - heavy and unsafe procedure
the uterine cavity.