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, 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.
- 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.