Tablets for abortion - the myth of safety - Termination of pregnancy in the early stages

Tablets for abortion - the myth of safety
Mifepristone
Chinese tablet
Termination of pregnancy in the early stages
At home

pills for abortion in early pregnancy

Tablets for abortion in early pregnancy

Tablets for abortion in the early stages, of course, does not guarantee complete safety of abortion, but the most gentle method of abortion. Take these pills only under the supervision of a doctor obstetrician-gynecologist

The mechanism of action of tablets for abortion in early pregnancy

All tablets for abortion in early pregnancy include mifepristone - a drug that inhibits the action of the female hormone progesterone. It progesterone during the second half of the menstrual cycle The menstrual cycle - that occurs in different phases? and throughout pregnancy inhibits the muscle contractions of the uterus, ie does not allow "throw away" fertilized egg from the uterus. Under the influence of progesterone mifepristone stops its effect on the muscles of the uterus and in the muscle fibers increases dramatically affinity for prostaglandins - biologically active substances, which are always present in the human body and have it very different effects. In this case, prostaglandins contribute to enhancement of muscle contractions of the uterus and uterine cervix, causing the ovum along with the mucosa is removed from its cavity. Under the influence of mifepristone comes the destruction of small blood vessels in the lining of the uterus and the mucous membrane is rejected.

If within 1, 5 - 2 days fertilized egg is completely removed, a woman entered prostaglandins, resulting in enhanced contractility of the uterus and an abortion is complete.

Mifepristone, or any other medicinal products containing it (mifegin, agesta, ginepriston, Gynestril administration), are allowed to apply during pregnancy up to 42 days delayed menstruation in combination with synthetic prostaglandin analogues.

Indications and contraindications for the use of mifepristone and its analogues

The indications for use of mifepristone can be only abortion up to 42 days delayed menstruation and unwanted pregnancy after unprotected intercourse (emergency contraception), for example, after the rape.

Contraindications for use of mifepristone much more. It's menstrual cycle, which each time has a different duration, benign uterine tumors, endometriosis (overgrowth of uterine lining in other tissues, such as in the muscular layer or in the ovaries), ectopic pregnancy Ectopic pregnancy - to keep the baby can not be? Scarring in the uterus (eg, after cesarean section), any acute illness, severe chronic diseases, age 18 and after 35 years, smoking, use of intrauterine hormonal contraceptives, or less than three months before the start of pregnancy.

Features abortion with pills

The advantages of such an abortion Abortion - is always a risk is less traumatic (mucous membrane of the uterus is not injured medical instrument), good efficiency (abortion can be completed in more than 90% of the cases), less pain (no pain relief in most cases), the inability to various infections with the help of medical instruments ( e.g., hepatitis).

But abortion tablets has disadvantages. After taking the pills at the doctor's woman leaves home, which may begin bleeding (this is rare, however, it happens). Sometimes a fertilized egg can not move even after the appointment of prostaglandins, then have to do curettage - the usual tool vacuum abortion or abortion.

How is an abortion with pills for abortion

To exclude contraindications pregnant woman examined first, and only then carry out the procedure for termination of pregnancy. Mifepristone pills she takes a gynecologist, after which it is observed in the day hospital for two hours. If all goes well, the woman goes home. After a few hours she appear spotting first minor undertaking all the more abundant. If you start to bleed heavily, then you should immediately call an ambulance.

After 36 - 48 hours of the day she comes again to the reception to the gynecologist, ultrasound passes, and if the ovum is not left entirely to her prescribe drugs of prostaglandins (eg, misoprostol). The women are observed in day care for four hours, then she goes home. After that spotting can last about ten days.

Two weeks later, an ultrasound study to check whether it was removed completely fertilized egg.

But we must always remember that an abortion - is an unpredictable process and it does not always end happily. That is why it is done under the supervision of an obstetrician-gynecologist.