Medical termination of pregnancy, like any medical procedure carries a risk of complications. Undoubtedly, medical abortion is today considered one of the most benign methods of abortion, but it is not without possible trouble. Undoubtedly, medical abortion can result in perforation of the uterus and subsequent surgery, but sometimes complications related to his conduct, much harder and more dangerous. Moreover, we should not forget that not all end pharmacological abortion conservative, often have to resort to scraping the uterine cavity
Curettage - how dangerous it is?
A little bit about medical abortion
Medication abortion is carried out using preparations of anti-progestins, which include Mifepristone. By antiprogestin are Mifegin, Penkrafton and RU486. Their action is to block the receptors sensitive to progesterone
Progesterone - norm and pathology
So that the uterus begins to contract strongly and pushes the embryo.
Firstly, the development of complications after medical termination of pregnancy due to hormonal changes that occur after medication of abortive drugs. Secondly, pharmacological abortion is performed on an outpatient basis, and almost half of all women abortion takes place at home, in the absence of a doctor, and the patient herself often can not adequately assess the situation and in time to seek medical help. Third, the occurrence of complications depends on the woman's age, the presence of harmful habits and associated diseases, and more. Complications of abortion drug are:
Around two per cent of cases after mifepristone expulsion of the embryo from the uterus does not occur. In this case, the woman there is a lack of expected menstruation and preserved signs of toxicity (nausea, vomiting). After a pregnancy test, gynecological examination and pelvic ultrasound confirmed the pregnancy develops. Removal of the fetus in this situation can only be surgically (curettage).
After receiving abortive medications occur profuse uterine bleeding associated with the rejection of the decidua and the ovum (spontaneous abortion)
. Usually this bleeding lasts no more than two days, gradually turning into a scant spotting that can last for three weeks, which gives the patient some discomfort
. But apart from minor bleeding (approximately 0, 1-0, 2%) may cause massive bleeding, which represents a threat to the woman's life
. Profuse bleeding can be caused by disorders of blood coagulation, the influence of large doses of hormones (hormone imbalance), the presence of residues of the ovum, and is not enough, the lack of a prevention of bleeding, which is used in hospital after surgical abortion (cold in the lower abdomen)
. Excessive uterine bleeding and requires immediate curettage of the uterus
Side effects of mifepristone
Complications of medical abortion can be attributed to the side effects of medications (such as nausea, vomiting, headache, weakness, dizziness, severe pain in the abdomen). Often they are so pronounced that requires not only the re-admission of abortifacients, but also significantly disturb the overall condition of the patient.
Medical abortion can cause the development of various hormonal disorders (menstrual disorders, amenorrhea
The absence of menstruation (amenorrhea) - ambiguous symptom
, The formation of ovarian cysts).
Pharmacological abortion, as well as all other types of abortion is a severe shock and stress
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for woman. Sometimes the patient experiences so heavy that it leads to development of neurosis, depression and even mental disorders.
Prevention of complications
To prevent complications should observe several conditions:
- sexual rest before the onset of menstruation (at least four weeks);
- refusal to take baths, swimming pool, sauna and baths;
- prevention of colds;
- the timely evacuation of the rectum and the bladder;
- personal hygiene;
- Obligatory visits to the doctor after medical abortion and holding ultrasound.