Terms of drug abortion, complications after the procedure

Medication abortion -a relatively new way of performing an abortion, which was applied in Russia about 5 years ago. For a long time there have been attempts to find a non-invasive method for resolving the issue of unwanted pregnancy, and it was found in this form.

What is the basis for medical abortion?

The method is based on the use of drugs in the form of tablets that disrupt the nutrition of the fetus and then cause its rejection. Abortion occurs in several stages, which will be discussed below.

As an active substance of the abortivethe drug in the first stage is used mifepristone, which is taken in a dosage of 600 mg. You can meet him also in the form of funds "Mifegin", "Pencrofton".

When medical abortion is performed,preparations of the second stage should be taken within one and a half to two days after the first remedy. They can have a tablet form or be used as a vaginal candle. It is a drug from the group of prostaglandins (usually the drug "Misoprostol"), which starts a process resembling a miscarriage. So, the terms of the drug termination of pregnancy do not exceed 3-4 days, plus an additional several weeks may take a recovery period.

Despite the fact that in Russia the means"Mifepristone" is applied recently, it is known abroad since 1988, and preparations of the second group - and earlier, from the middle of the 20th century. Only these medicines have proved their effectiveness in numerous trials and in the process of application.

Mechanism of action of drugs for abortion

As is known, after the onset of pregnancy inthe body of a woman changes the hormonal background: the concentration of a hormone aimed at preserving the fetus increases. This hormone in the first trimester of pregnancy is progesterone. It helps to increase the volume of the tissue of the uterine mucosa, so that the fetus can receive all the nutrients from the mother before the placenta is formed.

The drug "Mifegin" ("Mifepristone") causesslowing the growth of the endometrium, which disrupts the nutrition of the fetus. Reducing the concentration of progesterone can increase the role of oxytocin, causing a decrease in the uterus. In the second stage, prostaglandins contribute to this process, and then the rejection of the fetus occurs.

Conditions for a pharmaceutical abortion

There are several mandatory conditions forsuch abortion. First of all, the timing of drug abortion is important. This is possible within 49 days from the last menstruation. Some sources indicate a period of 63 days, this depends on the clinic in which the procedure takes place.

When diagnosing unwanted early pregnancyinterruption by the most gentle method with the help of medications is best performed at a term of up to 4 weeks, since the fetus is not yet sufficiently tightly implanted in the uterine cavity. This means that bleeding after rejection of the fetus in this case will be minimal.

Where can I get a pharma?

Despite the fact that in the process of getting rid ofpregnancy does not occur surgical intervention, this procedure is associated with certain risks. Therefore, buy the drug in the pharmacy and apply it at home will not work.

Where is the medical abortion? To date, only in a medical facility. Termination of pregnancy clinics are conducted under the close supervision of personnel to be able to detect complications at the earliest stage. The observation occurs within a few hours after the procedure, then the patient turns in a few days, and after 2 weeks a control ultrasound is performed to exclude pregnancy retention.

In order to perform an artificial interruptpregnancy medication, the clinic must have a certificate with permission for the use of mifepristone. Only this substance is used to perform the procedure of the pharmacist, which should be clarified when searching for a suitable consultation.

Cost of the procedure

Medical abortion, the price of which in many respectsis due to the cost of the drug, does not belong to the category of budgetary procedures. Since two tablets are sufficient to achieve the result, the simplicity of the method makes it possible to set the appropriate price (from 7,000 rubles and more).

The cost of the drug is added to the payment of hospital stay, as well as the use of materials and the cost of working hours for health workers.

The final price is also affected by the psychological factor, because lack of intervention gives inner comfort, for which many are willing to pay extra.

At the same time, medical abortion, the price of which is higher than for vacuum aspiration or scraping of the uterine cavity, is a fairly accessible procedure for a broad mass of the population.

Possible complications after medical abortion

Although the terms of drug abortion and avoid many unpleasant consequences, there are certain risks associated with the procedure.

The effectiveness of the method is 95%, that is, it is likely that in 5% of pregnancy will continue.

Medical abortion, which occursdetachment of the fetus from the uterine wall, causes bleeding (usually not too abundant), but there is a danger of massive loss of blood. Allocations can be prolonged, accompanied by pain in the uterus, intoxication phenomena (fever, chills, nausea).

If you follow the technique of step-by-step taking of tablets, the probability of achieving the desired effect increases, but none of the existing methods gives 100% of the result.

Contraindications

Pharmaceutical abortion is impossible in the presence of an allergic reaction to the components of the drug, with poor blood coagulability, the presence of diseases of the ovaries and fallopian tubes.

Even with an early pregnancy, an interruptionwith the help of tablets is impossible, if previously performed operations on the uterus. Scars with a high probability may disrupt the process of rejection of the fetus, that is, subsequent scraping of the cavity may be required.

In the presence of asthma and kidney failure, the doctor can also prohibit the interruption of pregnancy by this method.

Because the drugs are hormonal in nature,prevention with hormonal contraceptives can significantly reduce the effectiveness of such drugs, so this factor is a contraindication for abortion with mifepristone and its derivatives.

Medical abortion is also not performed in the case of an ectopic pregnancy, so the procedure is preceded by a survey.

Examination before abortion

Dosage of the drug for abortionis designed for a healthy body of a woman of the normosthenic type of the figure, therefore, before the procedure, the patient gives blood tests, a smear to the flora, and undergoes an ultrasound examination. This allows you to determine the level of general health, determine the exact duration of pregnancy, identify possible contraindications for an abortion.

For inspection it is not necessary to choosea separate day, all services are possible in one day. The examination also includes familiarization with the instruction to the drug, signing of documents on consent to the procedure.

A woman is warned that it is possibleretention of pregnancy, and in the event that the fetus persists after 2 weeks, other methods will be necessary. Further on the degree of danger, vacuum aspiration (up to 6 weeks of conception) and scraping (up to 12 weeks) go. The timing of drug abortion and vacuum aspiration is almost the same, but the risk to the woman's health in the second case is much higher.

After medical abortionit is necessary to avoid physical activity, bathing and hiking in the sauna and sauna, to refuse sexual intercourse for 2 weeks after the procedure, and not to apply douching.