In no case should abortion - a procedure that could threaten the health and lives of women. Even despite the fact that almost all cases of abortion in health facilities end safely, no one dares to say with absolute certainty that the particular abortion will take place without complications.
What is abortion and types
Induced abortion - is abortion in the first 28 weeks, when the fetus is still viable. Induced abortion is made in a medical institution, medical called, is a medical institution - criminal. The name itself says that the latter type of abortion is illegal. Criminal abortion - is one of the causes of death and infertility among young women.
Every abortion is not held to the body without a trace, since, firstly, the sharp termination of pregnancy is often a persistent violation of hormonal women, and secondly - traumatize the uterine wall. Therefore, abortion (especially if it was the first pregnancy) often comes infertility.
All medical abortion can be divided into instrumental (removal of the fetus by means of scraping the uterus
Curettage - how dangerous it is?
special medical tool), vacuum abortion or mini-abortion (removal of the fetus from the uterus by means of vacuum suction) and tableted abortion.
Tablet abortion first began to do in the 80s of the last century after the release of the first drug in France for their production - mifepristone. Today, mifepristone produced by different pharmaceutical companies under such names as mifegin, mifepreks and penkrofton.
The mechanism of action of mifepristone
Status of pregnancy is supported by female sex hormones (estrogen and progesterone). Thus progesterone
Progesterone - norm and pathology
during pregnancy plays a major role, as it was he who restrains the contractility of the muscles of the uterus. Without his influence muscles of the uterus to contract and expel beginning to fruit. It is at this particular action of progesterone and constructed mechanism of action of mifepristone, as it is a progesterone antagonist, i.e. blocking its action. And as reducing uterine muscles longer uncontained fetus is expelled from its cavity, that is going on abortion or abortion.
But that's not all the action of mifepristone: it increases the body's prostaglandins - biologically active substances that increase the contractile ability of the uterus. During the tablet abortion if a doctor sees that the uterine muscles are reduced enough, he may appoint a woman to the additional administration of prostaglandins.
Indications and contraindications for pods abortion
Holding a tablet abortion is allowed for pregnancies up to 6 weeks.
Contraindications for tablet abortion are any inflammation in the pelvic area, menstrual disorders, tumors and hormonal diseases of the female genital organs, suspected ectopic pregnancy, the presence of scarring of the uterus (eg, after cesarean section), increased bleeding, anemia, disorders the kidneys, liver and the cardiovascular system and other serious diseases of internal organs, smoking in combination with age, approaching 40 years, prolonged use of glucocorticoid medications and anticoagulants (drugs that reduce rolling capacity of the blood).
Tablet abortion procedure
Before the abortion tablet woman must pass the full examination for her contraindications for pregnancy termination (gynecological examination, laboratory tests, ultrasound). After that, an obstetrician-gynecologist antenatal woman explains how the procedure will take place and its possible complications, and that the woman should be doing at any given time.
Abortion procedure begins with the fact that the obstetrician-gynecologist gives her take a pill mifepristone. After that the woman is a time in the day hospital under medical supervision, and then goes home, where a few hours later she appeared spotting
Spotting - it is important to rule out pathology
. Next time (if the state is normal and there is no severe bleeding) woman attending antenatal clinics in 48 hours to check on the ultrasound, was removed from the uterus of the fertilized egg. If not, the doctor gives her pills to take prostaglandin and watching her condition in the day hospital for four hours. In the normal condition of the woman to let her go home and the next inspection is carried out in two weeks (held ultrasound to clarify completely removed if the fetus).
What complications can occur after abortion tablet
During the tablet abortion may experience the following complications:
- the appearance of weakness, dizziness, headache, nausea, vomiting, diarrhea, and sometimes - fever; this condition usually resolves itself;
- appearance after mifepristone severe pain and bleeding (in which case you need to call an ambulance);
- incomplete removal of the ovum - requires additional scraping tool
Scraping - heavy and unsafe procedure
the uterine cavity.
Pelleted abortion - a lightweight form of abortion, however, it can also cause a number of complications.