Terms of drug abortion, complications after the procedure

Drug abortion is a relatively new way of performing an abortion, which was started 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 the active substance of the abortifacient, mifepristone is used in the first stage, 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. This 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 drug "Mifepristone" is used recently, it has been known abroad since 1988, and preparations of the second group - even 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 you know, after the onset of pregnancy in the woman's body, the hormonal background changes: the concentration of the hormone aimed at preserving the fetus increases. The 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") causes a slowdown in the growth of the endometrium, which disrupts the nutrition of the fetus. Reducing the concentration of progesterone can increase the role of oxytocin, which causes a reduction 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 for such abortion. First of all, the timing of drug abortion is important . This is possible within 49 days of the last menstruation. Some sources indicate a period of 63 days, this depends on the clinic in which the procedure takes place.

When diagnosing an unwanted early pregnancy, it is best to interrupt the most gentle method with medication by 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 of pregnancy there is no 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. Interruption 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 carry out an artificial termination of pregnancy medically, 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 needs to be clarified when searching for a suitable consultation.

Cost of the procedure

Medical abortion, the price of which is largely 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 allows setting the appropriate price (from 7 thousand 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 curettage of the uterine cavity, is a fairly accessible procedure for a broad mass of the population.

Possible complications after medical abortion

Although 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 possible that in 5% of pregnancy will continue.

Medical abortion, in which the detachment of the fetus from the uterine wall occurs, 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 in the presence of an early pregnancy interruption with 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 in this way.

Since the drugs are hormonal in nature, protection 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

The dosage of the drug for abortion is calculated for a healthy body of a woman of the normosthenic type of the figure, therefore before the procedure the patient passes 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 the survey it is not necessary to choose a single day, all services are possible in one day. The examination also includes an introduction to the instructions for the drug, the signing of documents on consent to the procedure.

A woman is warned that it is possible to maintain 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 abortion, you should avoid physical activity, baths and hikes in the sauna and sauna, refuse sexual intercourse for 2 weeks after the procedure, and do not use douching.