How to understand that it is medicated. Indications, contraindications, side effects

Preserving a woman’s reproductive health involves gentle performance of all gynecological manipulations. This also applies to termination of pregnancy. It is known that the earlier the procedure is performed, the less dangerous the complications. It is optimal to completely abandon this manipulation, but this is not always possible. Therefore it is recommended when short term gestation to perform an abortion using medications.

What is a medication method?

Replacing surgical instruments and vacuum aspirators with hormonal drugs allowed us to develop a methodology pharmacological abortion. This non-invasive pregnancy loss procedure early stages, which occurs spontaneously.

Its advantages are associated with the following factors:

• efficiency 98-99%;
• no possibility of injury to the uterus or cervix during surgical procedures;
• low risk of ascending infection;
• there is no danger of getting HIV, hepatitis;
• there are no risks caused by anesthesia;
• can be used in primigravidas, influence on women Health minimal;
• low level of stress, does not create a traumatic situation.

The procedure does not require a long hospital stay. After the patient has taken drugs that cause medical abortion, at home you can expect bleeding to begin. But self-administration medicines without a doctor is impossible.

What's better, vacuum abortion or medicinal?

This is decided individually. But the complications and degree of interference in the body with vacuum aspiration are much higher.

How is the time for an abortion determined?

The timing for medical abortion is determined by the protocol of the Ministry of Health of the Russian Federation dated October 14, 21015. They record that it is possible to carry out a gestational disorder up to 63 days, or the 9th week. But in world practice there are differences in how long this manipulation can be done. In developed countries, the period is defined as 49 days, or 7 weeks of pregnancy.

Why for pharmacological interruption Is there such a deadline?

At the 5th week of pregnancy, the embryo begins to acquire human features, the rudiments of many organs and the umbilical cord appear. At 6 weeks the placenta begins to form and continues to develop internal organs. At week 8, the embryo already has a completely human appearance and enters the fetal stage. After this period, the formation of blood vessels in the placenta occurs, so a medical abortion can cause heavy bleeding.

Registered and used in Russia the following drugs for medical abortion:

1. Mifepristone 200 mg.
2. Misoprostol 200 mcg.

Pharmacological abortion can be used if the gestational age corresponds to that allowed by the protocol. The main condition for the successful completion of the procedure is the day of pregnancy and the presence of an embryo inside the uterus according to ultrasound results. After caesarean section medicinal method preferable to .

Preparation for the procedure

When you first visit a gynecologist, you need to conduct a general examination, a bimanual examination on a chair and in mirrors, and swabs are taken from the vagina. Blood pressure, pulse, and respiratory rate are also measured. Next, the woman is sent for an ultrasound to establish exact day gestation, condition of the uterus, fertilized egg.

Referrals are given for blood, urine, glucose, and ECG tests. A coagulogram is prescribed if there is a history of problems with the blood coagulation system. May be needed additional methods examinations, the need for which is determined by the doctor.

Execution method

When visiting the obstetrician-gynecologist again, the patient signs consent to perform induced abortion through pharmacological drugs. How a medical abortion is performed is determined by the clinical protocol.

For gestational age up to 63 days, 200 mg of Mifepristone is used, which the woman drinks with a doctor. A doctor's supervision is required for 1-2 hours, after which you can go home.

If the period is 49 days, 200 mcg of Misoprostol is taken at the next visit after 24-48 hours. During pregnancy 50-63 days, 800 mcg of the drug is used. This medication should be placed under the tongue, behind the cheek, or deep in the vagina. At the latter method administration, you need to lie down for 30 minutes. The patient should be observed for 3-4 hours. During this period, most people begin to bleed. If this does not happen, to achieve the result, take Misoprostol 400 mcg tablet again.

The signs of abortion are identical spontaneous miscarriage. A woman feels a cramping stomach ache and menstrual-like discharge appears.

How long does the bleeding last?

For most women, it lasts 7-9 days. Bloody discharge after the procedure is rarely observed until next menstruation. If the manipulation is carried out for a period of 3-4 weeks, then bleeding is not much different from menstruation. As the period increases, the release of blood increases; sometimes the use of hemostatic therapy may be required.

After 14 days you need to appear for a follow-up examination. This is necessary to confirm that the interruption has occurred. If an unsuccessful medical abortion occurs, aspiration from the uterus is prescribed.

Contraindications

The above drugs have serious side effects. Despite the high degree of safety, there are certain contraindications to medical abortion:

• gestation period exceeds 63 days;
• diagnosed;
• large fibroids that change the internal cavity of the uterus;
• infectious diseases of the genital organs in the acute period;
• anemia with hemoglobin less than 100 g/l;
• porphyria is a disease associated with impaired metabolism of the constituent pigment hemoglobin;
• bleeding disorders, as well as taking anticoagulants;
• individual intolerance to one of the drugs;
• adrenal insufficiency or long-term use of glucocorticoids;
• liver and kidney diseases, which are accompanied by acute or chronic failure;
• severe diseases of other organs;
• extreme exhaustion;
• smoking when a woman is over 35 years old;
• arterial hypertension;
• bronchial asthma;
• glaucoma;
• diabetes mellitus and other diseases of the endocrine system;
• hormonally active tumors;
• lactation period;
• pregnancy when established or after taking oral contraceptives.

According to WHO recommendations, interruption using Mifepristone is possible up to 22 weeks, but the severity of bleeding increases parallel to the period. In this case, for the duration of the procedure, the patient is hospitalized in a hospital, where there is a large operating room and emergency surgical care can be provided.

Fibroids threaten the development of bleeding, but if the size of the largest node is up to 4 cm and they do not change the uterine cavity, then you can resort to a pharmacological method.

Anemia is also a relative contraindication. The consequences of medical abortion can manifest themselves in a decrease in hemoglobin concentration: bleeding after taking medications exceeds menstrual bleeding in volume and duration.

Disturbances in hemostasis have implications for the volume and duration of blood loss. If shortly before the procedure the woman was treated with anticoagulants, then an increase in blood clotting time will lead to more heavy bleeding. Women over 35 who smoke are at risk of thrombosis and disease of cardio-vascular system. Therefore, to exclude complications, a consultation with a therapist is carried out.

Use of oral contraceptives long time before pregnancy also affects the hemostatic system. But this contraindication is relative. If the results of the coagulogram do not reveal pathological abnormalities, then this interruption method can be used.

If pregnancy occurs while an IUD is installed, it is removed before the procedure. Further tactics do not differ from the standards.

Infection of the genital organs is a pathology that requires appropriate therapy, which should not be delayed. Medical abortion does not contribute to the development of ascending infection, and treatment of acute infection can be carried out simultaneously.

Mifepristone and Misoprostol penetrate into breast milk. If there is a need for interruption during breastfeeding, then you need to express milk for up to 5 days after taking Misoprostol. During this time, the child is transferred to artificial feeding.

Bronchial asthma, high blood pressure and glaucoma are diseases that respond to prostaglandins. Therefore, in these pathologies, taking Misoprostol is contraindicated.

In addition, the contraindications for each drug should be taken into account. For the most part they coincide with those given above. It can only be supplemented with careful use of Misoprostol in patients with epilepsy, cerebral atherosclerosis, and coronary heart disease.

Possible complications

Despite not a large number of complications, you can determine why medical abortion is dangerous. In 85% of cases adverse reactions in the form of abdominal pain and bleeding are moderate, special treatment is not required.

In other cases, manipulation can lead to the following complications:

• severe pain syndrome;
• heavy bleeding;
• temperature;
• incomplete abortion;
• progressive pregnancy.

Pain in the lower abdomen is observed during the period of expulsion of abortion products. Its intensity may vary, but it also matters individual threshold portability. Analgin and Drotaverine are used to reduce pain. WHO recommendations indicate Ibuprofen to reduce pain. If your breasts hurt after an abortion, this may be a consequence high level, which increases with the progression of pregnancy. This symptom goes away on its own.

Bleeding is considered significant if you have to change two pads in an hour, and this condition lasts for at least 2 hours. In this case, vacuum aspiration of the contents of the uterus is indicated in order to stop it. IN severe cases surgical cleaning is performed.

In 2-5% of cases, medical abortion is incomplete. Then it is also necessary to perform vacuum aspiration or curettage of the uterine cavity. Less than 1% of cases result in pregnancy progression. If a woman insists on an abortion, then they use invasive methods. Those who have changed their decision must be informed about the possible teratogenic effect of the drugs on the fetus. But there is not enough data to confirm this fact.

Taking medications may cause a slight increase in temperature, but this lasts no more than 2 hours. If the fever lasts for 4 hours or more or occurs one day after taking Misoprostol, this indicates the development of an infectious process. A woman with these symptoms should consult a doctor.

Infectious complications are not typical for pharmacological abortion. But there is a group of people who are at increased risk infectious complications:

• , established by smear;
• patients with a sexually transmitted infection up to 12 months ago, but there is no laboratory confirmation of its cure;
• patients diagnosed with;
• women with a large number of sexual partners or low socioeconomic status.

Other complications in the form of dyspeptic symptoms may be a sign of pregnancy itself. For allergic reactions, treatment with antihistamines is necessary.

Recovery period

After taking Mifepristone and Misoprostol, there is no disruption of the menstrual cycle. But when menstruation begins and how long it lasts after a medical abortion is difficult to predict. The timing of the procedure matters; after an earlier interruption, the cycle is restored faster.

The first menstruation may begin in 30-50 days. But medical abortion does not affect the onset, so a new fertilization is possible in the first cycle. To avoid this, immediately after the procedure the doctor prescribes combined oral contraceptives. These may be such means as Yarina, Regulon, Rigevidon, Novinet, Lindnet, Jess. The selection of a medicine occurs individually.

Protects from unwanted pregnancy in 99% of cases. Positive effect is the regulation and restoration of the menstrual cycle. Minimum term for such contraception is 3 months, but you need to wait for the body to fully recover to decide when you can get pregnant. Usually this is a period of at least 6 months.

If pregnancy occurs earlier, this can lead to complications such as:

• threat of interruption;
• ectopic pregnancy;
• anemia in a woman.

Doctors' advice on how to restore the body after a medical abortion is as follows:

• start taking oral contraceptives early;
• avoid overheating and hypothermia in the first month after the procedure;
• do not visit the sauna, swimming pool, or swim in open water;
• not to accept hot bath, wash in the shower instead;
• take care of your health during the season colds avoid crowds of people to avoid getting infected;
• nutrition should be balanced, with sufficient protein and vitamins;
• completely give up alcohol, eliminate smoking;
• at first you should limit physical exercise. Those who are intensely involved in sports or fitness should stop going to the gym for a while;
• will limit stressful situations and emotional stress.

Sexual activity after a medical abortion is possible after the end of the first menstruation. The uterus after an artificial miscarriage is an extensive wound surface with a breeding ground for microorganisms. Sexual contact always carries a risk of infection. In addition, active frictions can deliver discomfort or lead to resumption of bleeding.

Physiotherapy has a positive effect on the recovery process. The choice of a specific method of exposure must be agreed with the attending physician, because This method of treatment also has contraindications.

If the menstrual cycle does not resume within 2 months, you should consult a doctor to conduct an examination and look for the causes of hormonal imbalance. You may also be concerned about discomfort in the mammary glands, which have begun to prepare for lactation. Therefore, in some cases, a consultation with a mammologist is recommended.

Despite numerous positive aspects, medical abortion is not ideal method. Any interference with the internal environment can lead to unpleasant consequences. To avoid them, it is necessary to approach family planning issues correctly, and not solve the problem after it appears.

The medical method of terminating pregnancy is a modern and safe look mini-abortion, which is performed without surgical intervention. In this case, the period from the moment of conception should not be more than 63 days. Termination of a conception that has already occurred is carried out using medicinal product, the main substance of which is Mifepristone. Registered trademarks of this drug are:

• Mifegin
• Pencrofton
• Mytholian
• Mifeprex

Many women are often interested in how things happen drug interruption pregnancy, fearing harm to the body. This type of abortion is much simpler and easier than surgical abortion. After Mifepristone enters the body, its components begin to block the action of progesterone, a hormone that performs the main function in maintaining pregnancy. Since the drug prevents the fertilized egg from attaching to the wall of the uterus, the development of the embryo completely stops. After which there is a gradual stimulation of its removal from the uterine cavity. At the same time, Mifepristone helps to soften and open the cervix a little, which greatly facilitates the abortion process.

The method of medical abortion has many advantages over surgical abortion:

• Painlessness and effectiveness of the procedure
• No risks that arise after surgery
• Minimal psychological impact
• Does not require anesthesia
• Reproductive function is not damaged

But, despite the large number of advantages, it is necessary to take into account that medical termination of pregnancy has contraindications. These include:

1. Ectopic pregnancy
2. Pregnancy occurring immediately after discontinuation of hormonal medications
3. Inflammatory process in the genital area
4. Allergy to drug components
5. Long-term use of anticoagulants or glucocorticosteroids
6. Pregnant woman's age is more than 35 or less than 18 years
7. Pregnancy not proven by ultrasound
8. Anemia
9. Uterine fibroids
10. Hemorrhagic syndrome
11. Liver failure
12. Presence of pulmonary diseases
13. Cardiovascular pathologies
14. Diabetes
15. Obesity
16. Adrenal insufficiency

It is also prohibited to resort to medical abortion after a cesarean section or other operations that leave a woman with scars on the uterus. Therefore, it is necessary to take into account that before making a decision by medication, in the presence of the above contraindications, a woman needs to weigh all the pros and cons of this type of abortion. Otherwise, the result may be irreparable.

Most women think that the consequences after a medical abortion are very minor compared to the consequences after surgical intervention. But this is not at all true, because even such a seemingly harmless method leads to a large number of consequences. For example:

1. Weakness of the body
2. Headache
3. Increased body temperature
4. Feeling nauseous
5. Vomiting attacks
6. Diarrhea
7. Allergic skin rashes
8. Decreased pressure
9. Severe bleeding that requires urgent surgery

The most serious consequence after this type of abortion is uncompleted termination of pregnancy. It can be expressed either by its continuation or by incomplete release of the embryo, after which in almost all cases inflammation of the uterus begins. This happens due to incorrect calculation of the amount of active substance. Therefore, when many women, visiting a gynecologist, ask him the question: “Is medical abortion dangerous or not?”, the doctor must honestly answer: “Yes, it is dangerous.” After all, after it there may be consequences that can cause tangible harm woman's health.

For this reason, after undergoing an abortion with the help of medications, the patient must strictly come to see a doctor and undergo full inspection ultrasound of the uterine cavity to determine that there are no particles of the fertilized egg left in it.

As with a regular abortion, a woman will go through pregnancy for two to three weeks. bloody issues. At this time, there is an open wound on the uterus, which takes some time to heal. Therefore, sexual activity after a medical abortion, as well as any physical activity, is strictly prohibited at least until the end of the discharge. If these recommendations are not followed, a woman risks getting inflammation of the genital organs and uterus. Also, this prohibition has another significant indication - after any type of termination of pregnancy there is a mandatory disruption of the menstrual cycle, which leads to premature or delayed maturation of the egg. And this in turn increases the chance of repeated unwanted conception.

In these cases, you need to know that you should not rely on the results of a pregnancy test. Indeed, for a short period of time after an abortion, hCG is still present in the blood, on the basis of which pregnancy is diagnosed. That is, in this case it may show an incorrect positive result.

A large number of gynecologists claim that after termination of pregnancy, the most the best method protection is hormonal contraceptives. Their use has been proven to help restore menstrual cycle and also reduces the risk inflammatory diseases. But from application intrauterine device, it is better to refuse, because they are the cause of complications.

Most women are interested in the question: “After a medical abortion, will I have children?” A large number of studies have been conducted on this issue, and all doctors have come to the same conclusion that the likelihood of becoming pregnant after a medical abortion remains unchanged. Fertilization of the egg can occur already during the first menstrual cycle. But it is advisable to avoid this, because after an abortion, changes occurred in the hormonal background and in the mammary glands, and the uterus itself is highly irritable, and a pregnancy that occurs at this time can end in a miscarriage.

If the medical abortion procedure was completed without complications, then the most best time for planning next pregnancy It is considered 4-7 months after the interruption of the previous one.

Life systematically presents us with various surprises. And they are not always pleasant, and some of them are even perceived as a disaster. This is exactly what happens with an unplanned pregnancy. It can happen to every woman who leads sex life. After all, no contraceptive means provides one hundred percent protection against conception, with the exception of complete abstinence. And many women, having seen two lines on the test, are faced with a difficult choice: terminate the pregnancy or give birth to a completely unwanted child. And in some cases it is necessary to make a decision to carry out a medical termination of pregnancy in the early stages. Let's talk about what drugs can be used in this case, and what are the possible consequences after medical termination of pregnancy.

Medical abortion is considered the most safe method termination of pregnancy. This medical procedure is carried out without surgical intervention and is carried out exclusively in the early stages of pregnancy. Interruption in this case occurs due to oral administration of medications (by mouth).

When is medical termination of pregnancy performed?

This type of abortion can only be performed up to six weeks of pregnancy. Moreover, the earlier it is carried out, the safer it is for female body and the less negative consequences for a woman’s health may occur.

This limited time frame is explained by the fact that early stage pregnancy ovum It is still only attached to the uterine walls. Besides hormonal changes in the body they are just beginning, and psychologically the woman does not yet have time to realize the change in her situation.

What drugs are used for medical abortion?

Medical abortion does not require the use of anesthesia or surgical instruments. To achieve the desired result, only drugs represented by mifepristone (drugs Mifegin or Mifeprex), as well as prostaglandin analogues (usually Misoprostol), are used.

The first active substance is an inhibitor of the hormone responsible for maintaining pregnancy - progesterone. Mifepristone stops the growth of the endometrium, and makes the uterus especially sensitive to oxytocin and other substances that activate myometrial contraction and stimulate the rejection of the fertilized egg.

As for prostaglandins, drugs of this type further enhance uterine contractility and effectively complement the abortifacient properties of mifepristone.

The consumption of the described medications by a woman is carried out exclusively in the presence of a gynecologist. Mifepristone is usually taken at the first dose, and misoprostol - thirty-six to forty-eight hours later. In the first few hours after this, the woman must also be in medical institution, which allows for timely diagnosis possible complications procedures.

How does a medical abortion occur?

Termination of pregnancy after taking medications is carried out according to the type of menstruation, in some cases more abundant and more painful. In most patients it occurs soon after taking misoprostol.

As for the effectiveness of medical abortion, on average it is 95%. And those women who fall into the remaining five percent may undergo subsequent vacuum aspiration or even curettage of the uterine cavity.

Further management of the patient after taking abortive medications

Two weeks after taking the last drug, the woman needs to mandatory appear at gynecological examination and pass ultrasonography. Such diagnostic methods will allow you to check how successful the medical termination of pregnancy was. If necessary, the doctor can also prescribe tests to determine the level human chorionic gonadotropin.

Consequences of medical abortion in the early stages

Although this method Termination of pregnancy is considered the least traumatic, but it can still lead to a number of complications and negative consequences for the female body.

Thus, medical abortion can provoke severe uterine bleeding. A woman may also develop hematometra - with this state There is an accumulation of blood clots in the uterine cavity. In some cases, doctors record an incomplete abortion. In addition, the above drugs may cause allergic reactions varying degrees expressiveness.

Medical abortion may be accompanied by intense painful sensations in the stomach, it also sometimes causes nausea and vomiting or provokes an increase in blood pressure.

Among other things, you need to remember that such an abortion (like any other) causes an imbalance of hormones. Hormonal background the woman is disrupted. In the long term, this is fraught with the occurrence of mastopathy, causing menstrual irregularities, the formation of cysts and other hormone-dependent pathological conditions. The risk of infertility also increases.

Thus, medical termination of pregnancy should not be considered as an absolutely safe and harmless event. And no specialist can guarantee that it will pass without negative health consequences.

Additional Information

Patients who have had a medical abortion may benefit from traditional medicine. So, to stop bleeding as quickly as possible or to reduce its severity, you can take medications based on nettle and other medicinal plants.

To prepare one of them, you should take the common yarrow plant (10 grams of leaves), five grams of each of the root of the evasive peony, the forgotten kopekhar, and the officinalis burnet, and also add the stinging nettle plant (from which there are 10 grams of leaves). Grind all the ingredients thoroughly and mix them together. Brew two grams of the finished mixture with one glass of just boiled water and leave for five to ten minutes to infuse. Take the strained drink in the morning half an hour before meals. The duration of such treatment can reach two months.

Be sure to discuss the advisability of using traditional medicine with your doctor.

Medical abortion is the termination of pregnancy, which is carried out without any surgical intervention - vacuum aspiration or cleaning of the uterus. This type of abortion has been practiced since 1985, but in Russia it is only gaining momentum. Not many people can afford it due to its high cost. But it is not always too expensive; there are options on how to save money without harming your health.

So, it will be much cheaper to terminate a pregnancy if you find a clinic where the domestic drug Mifepristone is used for this procedure. It doesn't have to be a highly touted clinic in the city center with famous doctors, expensive appointments and tests - all of which add to the cost of an abortion. In Russian regions you can find an option for about 5,000 rubles. In large cities it is more expensive, but not significantly.

Benefits of the procedure

But it's worth it because Negative consequences There are essentially no early medical abortions. Some difficulties may arise due to incomplete miscarriage. But this happens in literally 2-3% of all procedures. But a woman does not have stress due to gynecological manipulations, which are very painful if without the use of high-quality anesthesia, there are no consequences for the reproductive system ( future pregnancy), because no inflammatory process, the cervix is ​​not injured.

Indications and contraindications

pill abortion), where to start? From a visit to a gynecologist at a clinic that provides this type of abortion service. Not every clinic has a license for this. Your doctor must make sure that you are within the range of pregnancy limits for a pill abortion. And this is a maximum of 6 weeks. The period is determined not by simple calculation from the first day last menstrual period indicated by the patient, but according to the results of an ultrasound examination. The doctor sees the size of the fertilized egg and its location. Medical abortion is only possible if intrauterine pregnancy, and did not arise against the background of the use of an intrauterine device - a means of contraception.

But even if the pregnancy is due, the doctor may refuse the service if:

• the woman is over 35 years old and smokes more than 20 cigarettes a day ( high risk cardiovascular pathology, which increases even more after taking a strong drug for miscarriage), with severe hypertension;
• with low blood clotting;
• with renal or liver failure;
• intolerance to drugs used for abortion (active ingredients Mifepristone and Misoprostol).

Relative contraindications are poor smear analysis, negative Rh factor(the issue is resolved by administering anti-Rh globulin after an abortion to prevent Rh conflicts in subsequent pregnancies), sexually transmitted infections in the acute phase.

Doctor visits

At the first visit, the doctor conducts an examination, which we wrote about earlier. And if no contraindications are identified, he tells the patient in detail about medical abortion, what happens after taking the pills, what is normal and what is not. How to behave, can you take painkillers and what kind. Usually leaves your phone number for emergency consultation if it is needed after taking the drug.

Next, he gives out 3 tablets of Mifepristone. After this, the woman stays at the clinic for a short time and goes home. The doctor warns her that she may experience cramping pain, and bloody discharge from the genital tract appears. This is the norm. Of the painkillers, it is better to give preference to Paracetamol, as it is the safest in in this case. It does not interact in any way with the abortion drug.

But miscarriage occurs after taking Mifepristone only in a very small percentage of women. And after 36-48 hours, the woman should visit the doctor again to receive Misoprostol tablets. She also takes them in the presence of a doctor and stays in the clinic for 2 hours. Then he goes home.

After taking this drug, cramping pain and bleeding intensify. The fertilized egg and its membranes are rejected. The endometrium comes out of the uterus in clots. Heavy discharge can last up to 3 days, and moderate ones, as during menstruation, up to 14 days. Urgent health care only required when heavy bleeding. When two or more sanitary pads get wet in 1 hour. But this is rare.

And finally, the third visit after 10-14 days. The doctor performs an ultrasound examination to make sure that the miscarriage was complete. Otherwise, you will have to do vacuum aspiration. Even if the embryo continued to develop and the woman changed her mind about having an abortion. Since the drugs had the most Negative influence for a child, he will not be born full-fledged.

After a miscarriage

What happens to a woman’s body after a medical abortion, when can she conceive a child again? At once. 75% of women ovulate in the first menstrual cycle after an abortion. That is, fertility is not affected. Moreover, the child can be left behind, since medications taken 2-3 weeks before conception will no longer have a negative effect on him.

But if pregnancy is not included in the plans, reliable contraception is needed. Doctors recommend oral contraceptives or the installation of an intrauterine system.

Despite huge selection means of protection, problem unplanned pregnancy is extremely relevant today. Few of them modern families really involved in planning for the birth of a child. It is for this reason that abortion services are constantly in demand.

What is medical abortion?

The newest method of termination of pregnancy is medication, or as it is also called, pharmabortion. It is performed in a non-surgical manner, which is why it has earned its recognition and popularity. However this type Abortion has its own peculiarity - it can only be carried out in the early stages, up to six weeks of pregnancy.

Medical abortion: how it works. Basic moments

Due to the presence of contraindications to the procedure and the possibility of danger to life, medical abortion is possible only under the strict supervision of a doctor. It will help assess the woman’s condition and the absence of contraindications, and also when purchasing medical product You will be required to provide a prescription from your attending physician.

Passes under the influence medical medicine, which stimulates the process of embryo rejection and cleansing of the uterine cavity.

General contraindications

The procedure has its own characteristics and contraindications, the presence of which excludes any type of termination of pregnancy, including medical abortion. How the pregnancy is going, the woman’s well-being and other features - everything should be taken into account. The procedure is excluded in the following cases:

1. At acute form infectious disease.
2. In the presence of an inflammatory process in the body, including in the intimate area.
3. When diagnosing ectopic pregnancy.

If one of the above contraindications is present, it is impossible, but pathological process subject to treatment. Otherwise, the risk of complications increases greatly.

Contraindications for medical abortion

This type of abortion has its own contraindications:

1. Intolerance to substances included in the drug. In such a situation, your doctor will be able to recommend another remedy that is right for you.
2. Having problems with the kidneys and liver.
3. Serious heart and vascular diseases.
4. Anemia.
5. Breastfeeding, since substances are absorbed into the blood and pass into breast milk.
6. In a situation where protection was provided for a long time using oral contraceptives, and their use was stopped immediately before pregnancy.
7. Inflammation of the stomach (gastritis, gastroduodenitis, ulcer).
8. The presence of a scar on the uterus.

Preparing for the abortion procedure

To successfully complete the procedure, a woman must contact her doctor and strictly follow his requirements and advice. At the first appointment, the doctor will tell the woman how a medical abortion works. The patient will need to try to establish the exact date conception, undergo an ultrasound examination to exclude ectopic pregnancy, and also undergo a series of tests.

The patient must report all chronic diseases to prevent the risk of complications.

A day or two before the abortion, you should avoid drinking alcohol and refrain from smoking. Women who smoke more than ten cigarettes a day should remember that the effect of the drug will be reduced.

What is this procedure?

It is carried out in a hospital in several stages.

1. The patient is given two tablets of the drug, after which the woman remains under the supervision of medical staff in the hospital for a certain period of time (from two to four hours). How a medical abortion works should be assessed by a doctor. In the absence of side effects, drug rejection (vomiting) and complications, the patient goes home the same day. Medicine(“Mifepristone”) helps to terminate pregnancy. It prepares the uterus for expulsion of the embryo. It softens, the tone increases, a process occurs as before the onset of menstruation.
2. After two days, the client returns to the clinic to undergo the next stage. She receives another type of drug (Misoprostol) that helps the body rid itself of the fetus. The patient is under the supervision of medical staff for at least two hours from the moment the procedure begins (medical abortion). How the process goes should be assessed by a specialist. After the examination, the patient can go home. At this stage, the fetus is expelled, which may be accompanied by bleeding and pain.