Medical abortion - how to undergo medical abortion
Currently, there are many different ways of interrupting an unwanted pregnancy, but in most cases carrying out such an operation, like any surgical intervention, involves a large number of unpleasant complications. But in addition to the operation as such, there is another way of performing the abortion, namely medical abortion, or tablet abortion - abortion through medication. Below we will consider in detail how medical abortion is taking place.
How is medical abortion performed?
For the most part, this chemical effect of the drug on the body, so the whole essence of this abortion is reduced to the procedure for the adoption of artificial steroid substances - antiprogestins. There is a medical abortion in the form of menstruation, or rather the drug suppresses the development of trophoblast and leads to the rejection of decidual tissues, which in turn causes uterine bleeding, i.e.monthly, which is the termination of pregnancy. Thus, medical abortion proceeds quite painlessly, although it mostly depends on the individual characteristics of the organism.
Stages of medical abortion
Medical abortion consists of several stages.
- The first stage is the examination, revealing the exact period of pregnancy, tk.this type of abortion has a limitation of up to 42-49 days( or 6-7 weeks) from conception. The patient should undergo the following examinations: examination of the gynecologist, a vaginal flap on the flora, hepatitis C and B, ultrasound, RW, HIV test, and a blood group, Rh factor for those who have pregnancy first. Then the choice of the means for carrying out the operation is carried out.
- The second step is directly the procedure for taking the drug. This stage has two stages: the period from taking the drug to the first clinical manifestations - from 36 to 48 hours and the main period, which takes the form of menstruation, which in intensity and duration may slightly exceed usual. At the beginning of the second period, the patient is again injected with the necessary drugs, and for some time she is under the supervision of a doctor. The effect of the drug begins 1.5 to 2 hours after admission, a miscarriage occurs. The intensity and duration of bleeding directly depends on the period of pregnancy. If medical abortion is carried out at an early date of 3-4 weeks, then in most women it proceeds like a regular menstruation. But at this stage, some complications that require intervention by a gynecologist are possible, for example, there may be excessively abundant bleeding requiring scraping of the uterine mucosa.
- And, finally, the third stage - 12-14 days after taking the drug. At this stage, the gynecologist conducts an examination of the patient, makes ultrasound. This examination is necessary to check the complete absence of fetal particles in the uterus, i.e.make sure that the miscarriage has gone completely. Otherwise, surgical intervention is performed.
As a result of medical abortion, the patient must remain under medical supervision for at least 3 months. The condition of the uterus should be normalized during this period of time. In addition, after such intervention, immunity is greatly weakened and requires increased attention. There are three in all, but each of them is very important, not worth neglecting, not one. Possible deterioration in health status, the temperature may rise, it is possible the appearance of various secretions. In this case, you should see a doctor.
Advantages of medical abortion
The World Health Organization has recognized medical abortion as one of the safest ways to terminate a pregnancy, but whatever the abortion, it is in any case an interference in the body and detrimental to the health of a woman. There is the possibility of pregnancy after a similar abortion after 2-3 weeks, although this is unlikely. After the medical form of abortion, the most appropriate contraceptives are prescribed by a gynecologist. But to plan a new pregnancy is not advised within six months after this abortion, because the effect of the drug may in some way affect the development of the fetus. However, the most successful outcome of subsequent pregnancy is observed after medical abortion.
Medical abortion has several different options, which differ from each other only by a selection of drugs. The most common drugs are "Mifegin"( manufactured in France) and "Mifepristone"( produced in Russia), as well as such drugs as "Pencrofton" and "Postinor"( Russia).In most clinics that make abortion, the drug "Mifegin" is used. It is not in free sale and is contraindicated for independent use. But such an option for abortion as "Postinor" is a very common means for use without seeing a doctor. This drug is called an emergency contraceptive and is not used during pregnancy, but after sexual intercourse without contraceptives or if another contraceptive has not worked. Postinor should be used immediately after such a sexual act, it is absolutely useless after 2 days after sexual intercourse and is not considered a reliable method of protection.
Finally, we can say that the most safe and effective method of getting rid of unwanted pregnancy is directly medical abortion. This method, in comparison with others, is less dangerous for the subsequent pregnancy of a woman, there is no possibility of infection, and among other things excludes the need for both general and local anesthesia. But do not forget that this type of abortion should be carried out only with the help of certified high quality drugs and under the supervision of experienced specialists.