In recent years, doctors are increasingly offering to terminate an unwanted pregnancy using medical abortion. Medication or drug abortion as an alternative to surgical intervention appeared recently, about twenty years ago. It was first produced in France, and its clear advantages taken a firm position in the termination of pregnancy. Despite the obvious advantages in the Russian medical abortion unfortunately it is not widely used, because of its high cost. Still, to interrupt an unplanned pregnancy is better this way.

What is medical abortion

Medical abortion (also called "velvet abortion") - is a non-surgical termination of pregnancy by a drug Mifegin. The term medical abortion Medical abortion with mifepristone and misoprostol: how it happens   It corresponds to 49 days delayed menstruation (about six - seven weeks of pregnancy). Abortion at a later date reduces the effectiveness of manipulation.

A little about Mifegin

Mifegin is a drug that causes abortion. The active ingredient of the drug is mifepristone Mifepristone and misoprostol for abortion: two components of a single method . Mifepristone in fact - is a synthetic steroid antiprogestagennoe substance, the effect of which is to block progesterone - the hormone responsible for maintaining pregnancy, which leads to uterine contractions and to increase the sensitivity of the myometrium to prostaglandins. This results in the desquamation (rejection) decidua and "release" of the ovum, ie, abortion.

Mifegin available in tablets of 200 mg. Often in the manufacture of medical abortion additionally appointed synthetic prostaglandin (Misoprostol, Gemeprest). When breastfeeding Breastfeeding: notes   it is necessary to stop at least two weeks before medical abortion.

Inspection before medical abortion

A survey before the abortion drug is no different from the examination prior to surgical termination of pregnancy, and includes:

• inspection gynecologist;
• Pelvic ultrasound with a vaginal probe (to clarify the duration of pregnancy and exclude ectopic pregnancy);
• General blood and urine tests;
• smears on the microflora of the vagina;
• blood for syphilis and HIV infection;
• blood group and Rh factor (women, especially primiparous with Rh-negative should be immunized);
• if necessary consulting specialists appointed to exclude contraindications.

How is

After examination and the signing of the document, where the possible complications and consequences of pharmacological abortion, a woman (to the doctor) drinks while Mifegin three tablets (600 micrograms). Under the supervision of a doctor the patient must be at least two - four hours. Half of the women have an abortion occurs during this period. The patient then goes home, and if abortion did not happen in a hospital, the pregnancy is terminated at home for two or three days. In some cases, you need supplementation of prostaglandins (36-48 hours after receiving Mifegin).

After three days, the patient is a re-appointment to a gynecologist who conducts a pelvic examination and ultrasound control. The third and final inspection is carried out in twelve or fifteen days. If found the remains of the ovum, the doctor offers curettage.

Pain (contractions of the uterus) and the amount of bleeding during the abortion drug is practically no different from the sensations during menstruation. In rare cases, excessive bleeding, nausea, vomiting or diarrhea.

Benefits

In contrast to surgical abortion, medical abortion has the following advantages:

• ideal for nulliparous women;
• does not require anesthesia;
• high efficiency (virtually 100%);
• no complications associated with curettage of the uterus (uterine perforation, infection);
• there is no risk of contracting HIV or hepatitis.

Anna Sozinova

Related Articles

Tablets for abortion - the myth of safety

Abortion - is always a risk

Male look at abortion

Medical abortion with mifepristone and misoprostol: how it happens