- Tablets for abortion - the myth of safety
- Mifepristone
- Chinese tablet
- Termination of pregnancy in the early stages
- At home
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Tablets for abortion at home
Tablets for abortion at home is actually taken only on prescription, and after a preliminary examination. Thus for over abortion doctor watches on certain terms established as a result of clinical trials of drugs in this group.
For tablets for abortion at home include mifepristone, mifegin, agesta, ginepriston, Gynestril administration and other drugs. A feature of these products is that they as active substance contain mifepristone. Mifepristone is a group of substances that inhibit the action of progesterone.
The mechanism of action of tablets for abortion
As is known, woman's menstrual cycle consists of two phases. In the first phase under the influence of pituitary hormones and the female sex hormones estrogen matures the egg, which is then released from the ovary (this point is called ovulation) and into the fallopian tube for fertilization. After ovulation begins the second phase of the menstrual cycle
The phases of the menstrual cycle failures unacceptable
During which there are other pituitary hormones and the female sex hormone progesterone. The main task of progesterone - to prevent uterine contractions. If pregnancy does not occur, the amount of progesterone decreases, the muscles of the uterus contract, the mucous membrane is torn away and thrown out of the uterus. If pregnancy occurs, the body produces more progesterone to suppress contraction of the muscles of the uterus, and pregnancy maintained.
Under the action of mifepristone in the mucosa of the uterus decreases the amount of small blood vessels (capillaries), and simultaneously stops delivery of progesterone. As a result, the mucous membrane of the uterus with the fetus inside her attached rejected and expelled from the uterus using muscle contractions. And as mifepristone also promotes relaxation of muscles of the cervix, this process is relatively painless and bloodless.
However, every woman has their own individual characteristics, including structural features of the circulatory system and the wall of the uterus. Therefore, none of the gynecologist can not guarantee that such abortions take place without complications.
The most dangerous complication of medical abortion
Abortion - is always a risk
It is bleeding. Therefore, a gynecologist, a woman holding home after taking the pills, always warned her about this possibility. If the bleeding becomes stronger (ie more than the usual menstrual period), it is recommended to call an ambulance and go to the hospital.
However, such complications are rare, but the incomplete removal of the ovum - a common occurrence. But an experienced gynecologist cope with this complication.
Indications for medical abortion
Medical abortion with mifepristone and misoprostol: how it happens
Pregnancy is another delay menstruation no more than 42 days, and emergency prevention of pregnancy after unprotected intercourse.
Prior to medical abortion a woman fully examined Explore smears on the purity of the vagina (the identification of infectious and inflammatory processes), ultrasonography (US). The survey is necessary to identify possible contraindications for the use of mifepristone. One of the contraindications to medical abortion at home is the presence of infectious and inflammatory processes of the genitals. There are many other contraindications, reveal that the doctor can only in the preliminary examination.
The dosage regimen for abortion pills
The tablets are usually taken at the doctor's office a half hour after a light breakfast. After that, the woman for a few hours (usually no more than two) observed in the antenatal clinic (for this purpose in the women's clinic has a day hospital beds). Then she goes home, and a few hours later she started spotting, and then a little bleeding (but no more menstrual). To monitor the performance of an abortion, she should come to see a doctor within 36 - 48 hours. This involves ultrasound, which aims - to establish whether fully removed ovum. If a fertilized egg is not completely removed, it is fraught with prolonged bleeding. In addition, in the uterus creates an excellent breeding ground for pathogens, so incomplete abortion almost always leads to septic complications.
If after two days the ovum has been incompletely removed, the woman is prescribed an additional prostaglandins - substances that increase uterine contractions. The next time to see a doctor the woman comes a week later, she made repeated ultrasound and if the ovum has not been completely removed, then by vacuum or instrumental abortion.
Abortion at home so just called, in fact it is carried out strictly under the supervision of a physician.
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