Medical abortion - a method of abortion without surgical intervention. It is made for up to 63 days (nine weeks) after the start of the last menstrual period.

Medical abortion with mifepristone and misoprostol

• First Visit - Day 1

First, you will need to pass a urine sample to determine the level of glucose and proteins. Then fill out a medical card to donate blood from a finger and go through an ultrasound examination. Then you talk to a counselor about options, side effects and risks of abortion. Then you look at all the documents that must be signed, including consent to medical abortion if you are satisfied, sign them.

Then you measure the pressure and temperature, after which the doctor will examine you. After the conversation and confirm your decision doctor will give you one tablet (200 mg) mifepristone you there and you will receive.

After that the doctor will give you tablets of misoprostol (800 mcg), which you take home. This should occur within 24-48 hours after mifepristone. Misoprostol should be put in the mouth and dissolve within half an hour. This preparation is needed in order to complete the termination of pregnancy. Approximately 90% of women have an abortion occurs within 4-24 hours after taking misoprostol. If you have questions, call your doctor.

If you are Rh-negative, you get a shot Rh immunoglobulin. Also, you will write a prescription for painkillers.

• The next visit - day 4-14

Approximately 7-10 days after the first visit you have to again go to the clinic for re-vaginal ultrasound. If the abortion is complete, you have a chat with a consultant on further ways of prevention and health care. If abortion is not complete, you may need a surgical abortion.

It is very important - after mifepristone abortion should be performed necessarily. About 2-3% of women have to resort to a surgical procedure to remove tissue from the uterus through all vacuum aspiration. Drugs used for medical abortion can cause severe birth defects, so pregnancy must be terminated.

How to use misoprostol and what to expect

Take care of a large stock of gaskets Feminine pads - talk about wings . Be sure to drink plenty of fluids (water or juice). For half an hour before the misoprostol take pain medication that the doctor recommends.

Typically, two to four hours after taking misoprostol Misoprostol - indications for abortion   start cramping and bleeding. Sometimes, however, they begin to receive.

Continue to drink water How to drink water to lose weight   and a little something to eat. Take only the pain relievers that are prescribed by a doctor, and follow all instructions.

Fabrics: the expulsion of tissue from the uterus will continue next 4-24 hours. The embryo may not be visible in a blood clot, or may look like a small white seed.

The side effects of medical abortion

Bleeding: Bleeding is a very strong and will stand out large clumps. This is not cause for panic. However, if you soak through more than two pads per hour for two consecutive hours or longer, call your doctor. Bleeding can be stopped for a time and last for a few days, it may be weak or strong. Do not use tampons and do not take a bath until the bleeding continues. If the bleeding does not start within 24 hours, call your doctor. If after an abortion you will not begin menstruating within two months, consult a doctor.

Spasms. This is normal. The spasms can be very painful. You can take 800 mg ibuprofen every six to eight hours and one tablet every four hours Tylenol if necessary. Do not take aspirin.

Nausea, vomiting, diarrhea. Sometimes it can be side effects of misoprostol but perhaps it is more dangerous signs, such as toxic shock and infection. Immediately consult a doctor if symptoms persist for more than 24 hours after taking misoprostol.

The temperature of 38 ° C or above normal while taking misoprostol. But she should be back to normal after about an hour after the onset of bleeding. Continuously measures temperature and drink plenty of fluids. If the temperature does not drop for three hours, call the clinic. Also it is necessary to urgently call the doctor if the temperature rose after the fourth day.

Limitations

• Do not take aspirin, it will increase the bleeding.
• Do not use tampons How to use sanitary pad - basic precautions Only gaskets prior to menstruation.
• Do not shower or swim.
• Do not take any medication without approval of your doctor.
• Do not engage in sexual intercourse before re-appointment with the doctor.
• Avoid the action and lifting weights to re-appointment with the doctor.

Misoprostol - a drug, a prostaglandin analogue, which is used to induce abortion, as it causes uterine contractions. Misoprostol is able to stimulate uterine cervix and facilitates the removal of uterine, but it is more effective in combination with methotrexate or mifepristone. After taking mifepristone, misoprostol intake may cause or enhance the frequency of spontaneous uterine contractions.

Action

• Softens and opens the cervix;
• Causes uterine contractions.

Application

Misoprostol is used in the following conditions:

• Prevention of stomach ulcers;
• Completion of incomplete abortion;
• Start fights abortion in the second trimester;
• Start fights in the third trimester; such abortions are done only in exceptional cases, such as when the fetus has died;
• The expansion of the cervix prior to surgical abortion;
• Cervical softening for the onset of labor;
• Cervical softening for special gynecological tests.

Effectiveness

Misoprostol can terminate a pregnancy without the use of other drugs. But usually it is used in combination with other agents, such as mifepristone or methotrexate for abortion in the first trimester.

Misoprostol vaginal use provides 90% efficiency for the termination of pregnancy for up to eight weeks.

Misoprostol can be administered orally or vaginally. For vaginal use, it is somewhat more effective. But many doctors prescribe oral administration, as there have been cases, though rare, deadly infection during vaginal application.

Side effects

This method of termination of pregnancy causes symptoms similar to the symptoms of miscarriage (severe cramps and vaginal bleeding).

Possible symptoms:

• Sickness
• Vomiting
• Diarrhea
• Headache
• Dizziness
• Chills or hot flashes
• Tremors
• Fatigue

There are few data on deaths from sepsis, except in women after an abortion using mifepristone and vaginal misoprostol.

Signs of serious infection are fatigue, nausea and diarrhea, which may be accompanied by abdominal pain. Sometimes the infection causes fever. If you have any signs of serious infection after medical abortion should immediately seek medical help.

Signs of complications

If the abortion observed any of these symptoms, you should consult your doctor immediately:

• Heavy bleeding
• Common signs of infection, such as headache and muscle pain, dizziness, general malaise
• Severe abdominal pain that does not go alone, warm or after taking pain
• Hot flashes, or the temperature is above 38 ° C, no more than four hours passing
• Vomiting for more than four hours
• Swelling of the abdomen or heart palpitations
• Increased vaginal discharge The whole truth about vaginal secretions   or an unpleasant odor
• Pain, swelling, or redness in the genital area

Any kind of abortion is bleeding. Bleeding is considered strong if:

• Stand clots larger than a golf ball for two hours or more;
• Get wet through two or more large pads Feminine pads - talk about wings , For two hours or more;
• Heavy bleeding lasts twelve hours.

If after an abortion experience the following symptoms, contact your doctor immediately:

• Bleeding for more than two weeks
• New unexplained symptoms that may be caused by taking drugs
• The absence of menstruation for more than six weeks after the procedure.
• Signs of Depression Depression - a little more than a bad mood . Hormonal changes after pregnancy can cause depression requiring treatment.

Important Facts

• The choice of surgical or medical abortion Medical abortion - be wary of the ordinary   It depends on the health of women, gestational age, access to health services and personal preferences.
• Misoprostol should not be used in women with an allergic reaction to misoprostol or other prostaglandins.
• Misoprostol can cause fetal abnormalities, so in case of failure of medical abortion should be made a surgical abortion.
• There were no interactions misoprostol with other drugs.
• Unlike other prostaglandin misoprostol increases the risk of heart attack or bronchospasm.