- Medical abortion: the contraindications and dangers
- Pain, cramps, bleeding
- Possible consequences
- Long-Term Effects
There are many ways to have an abortion, especially in early pregnancy. Medical abortion is entered into the life of a modern woman a little more than twenty years ago. For the first time they began to do in France, where it was invented for this drug mifepristone. Nowadays, mifepristone produced in different countries under different names, but the international non-proprietary name he remains the same.
What abort tablet
This drug terminates a pregnancy in the early stages. Usually, it is effective to receive 63 days of pregnancy. After this time an abortion surgically.
The drug is used for the termination of pregnancy, called mifepristone.
Action mifepristone is that it on the one hand blocks the action of the female sex hormone progesterone (it suppresses muscle contractions of the uterus during pregnancy, i.e. prevents spontaneous miscarriage), and on the other stimulates the production of prostaglandin - specific substances that activate muscle contractions of the uterus. As a result, the uterus begins to contract and the fertilized egg is thrown out (there is an abortion). Sometimes, in order to further intensify the contractions, the woman is assigned the additional administration of prostaglandins.
How effective is medical abortion
Medical abortion is effective in about 97% of cases.
When you examine the abortion to make sure that the fetus is completely uprooted. If the pregnancy continues to develop in the fetus may have serious birth defects. Therefore, if you are in a 3% have to interrupt a pregnancy using vacuum aspiration (this process is also called mini-abortion).
What happens during a medical abortion
Before taking mifepristone, you talk with your doctor about the course of the procedure; He will examine your medical history; you pass tests; You examined with ultrasound; Finally, you will sign the necessary papers.
In addition, you get all the necessary information about what to do in case the course of the procedure will not be as expected.
Medical abortion begins immediately after you take the pill.
Step One - mifepristone
The tablet of mifepristone is given in a hospital, and it must be taken in the presence of a doctor. He immediately prescribes you antibiotics, which have to be taken after an abortion.
Mifepristone blocks the production of progesterone
Progesterone - norm and pathology
Without which the wall of the uterus begin to reject the fetus and the pregnancy can not continue.
Step Two - misoprostol
Then you will need to take another drug - misoprostol. Thanks to him the fetus is expelled from the uterus.
When it is necessary to take misoprostol, the doctor will determine. As a rule, take a second tablet for three days after mifepristone. Then there are cramps and bleeding. In some women, the bleeding starts before misoprostol
Misoprostol - indications for abortion
. It usually lasts a few hours. Blood will go along with large clots. More than half of women have an abortion occurs within four to five hours after taking the second tablet. The rest of it takes more time, sometimes - up to several days.
Minor bleeding can last up to four weeks after the abortion.
Therefore, even if for some time there is no blood better all the time wear pads. Tampons can be used within a week after the abortion, but with gaskets
Feminine pads - talk about wings
best seen how abundant you are bleeding.
Feelings of medical abortion
For most women, medical abortion is felt as a miscarriage in the early stages - it is accompanied by cramping pains and bleeding. Also can be:
- Severe cramping
- Nausea and vomiting
- Recurrent pain in lower abdomen
- Mild fever or chills
When the pain and help atsetinofen ibuprofen. Do not take aspirin.
Step Three - Follow-up
Re-examination administered after two weeks. It is very important because the only way to ascertain that the fetus is uprooted. The patient was examined by ultrasound and a blood test.
If you find that you're still pregnant (this probability is very low, but still there), you will be assigned vacuum aspiration
Vacuum aspiration - widely used method
How safe medical abortion?
For most women, medical abortion is safe, but as with any medical procedure, there are some risks. For example:
- An allergic reaction to mifepristone or misoprostol.
- Incomplete abortion - is part of the embryo in the uterus
- Undiagnosed ectopic pregnancy
- Very heavy bleeding
Most often, these complications without problems cured with timely treatment to the doctor.
In very rare cases, especially serious complications can lead to death of the woman. However, the risk of dying from a medical abortion is still less than the probability of dying during childbirth.
Signs of serious complications:
- Very strong vaginal bleeding.
- The curds are the size of a lemon for two hours or more.
- Pain in the lower abdomen can not withdraw painkillers or some other means.
- The heat continued for several hours.
- Vomiting for four to six hours, from which no funds are not helping.
- Unpleasant smell of vaginal discharge
In the presence of one or more of these symptoms should immediately contact a doctor. Normally, your health should improve with each day that passes after the abortion.