Features of medical abortion

Medical abortion in early pregnancy are gaining popularity. It attracts simplicity and apparent harmlessness of the procedure. Nevertheless, as confirmed by gynecologists, any abortion, including the most gentle - medication, always carries with it a threat to women's health.

What is the harm of abortion

Any form of abortion comes two types of effects on a woman's body: mechanical and hormonal. When medical abortion Medical abortion with mifepristone and misoprostol: how it happens   The main impact is dramatic hormonal shift under the influence of the drug, which causes rejection of the ovum from the uterine wall. For a woman, it does not always go without a trace, the effects are sometimes a long time, even despite treatment. Mechanical effects of medical abortion minimum - is the separation of fetal membranes from the uterine wall, would still like it too much: in the uterus bleeding surface is formed, it may be heavy bleeding or join infection, which then can be treated with a long and unsuccessful.

A woman who dared to have an abortion, should know that an absolute guarantee of the absence of any complications at the sight of her abortion, no one will.

What drugs are used for medical abortion

In the late eighties of the last century for the first time abortion began to use the drug mifepristone Mifepristone and misoprostol for abortion: two components of a single method . The mechanism of action of mifepristone was the fact that he blocked the action of the female hormone progesterone, which created hormones necessary to maintain pregnancy. At present, Russia uses the analogy of mifepristone: mifegin, mifepreks and penkrofton.

When suddenly under the influence of mifepristone stops the action of progesterone, there is a rejection of the uterine mucosa. At the same time increases the concentration of prostaglandins (they cause contractions of the uterus), the uterus contracts, the cervix dilates and mucosa with attached thereto fetal egg is expelled from the uterus. To further enhance the contraction of the uterus, the woman at 1, 5 - 2 days after mifepristone additionally introduced prostaglandins.

Indications and contraindications to medical abortion

Medical abortion is performed:

• for the purpose of medical abortion Effectively medical abortion?   up to 1, 5 months;
• for contraception to prevent unintended pregnancy after unprotected intercourse.

Mifepristone is contraindicated:

• with suspected ectopic pregnancy;
• in all types of tumors of the uterus and endometriosis;
• in inflammatory processes in the field of female genital mutilation;
• in the menstrual cycle;
• if there is scarring of the uterus (eg, after cesarean section);
• anemia (risk of bleeding);
• in the presence of severe acute and chronic diseases of other internal organs;
• at the age of 18 and after 35 years;
• with active smoking, when combined with an age of about 35 years;
• long-term treatment with corticosteroids and drugs that lower blood clotting (possible bleeding).

Preliminary survey

Before medical abortion is carried out a full examination of the patient in order to avoid possible contraindications. First - gynecological examination, during which the swab is taken by the purity of the vagina, and then - ultrasound and blood tests for syphilis and HIV.

If an inspection of the question of holding a medical abortion is solved positively, the woman explained, what is this method, it will be carried out and all possible complications.

The procedure for medical abortion

The procedure is performed on an outpatient basis. In the office of the gynecologist woman taking pills mifepristone and then stored in the day hospital antenatal clinic for about two hours under medical supervision. Then she goes home and after a while she appeared spotting - it is rejected endometrium together with the fetal egg.

Two days later she again visited the gynecologist's office, which inspects and sends a woman on the ultrasound examination in order to make sure that the fertilized egg is removed. If the fertilized egg remains in the uterus to increase the contractility of the muscles of the uterus woman taking pills prostaglandin.

In order to avoid possible complications, the woman watched in day care at least four hours, and only after she goes home. Spotting amplified and can last more than 10 days. Two weeks later, a repeated ultrasonography.

What can be complicated medical abortion

Side effects of mifepristone can be expressed in the appearance of weakness, headache, nausea, vomiting, diarrhea, dizziness. This requires no special treatment, and passes on their own.

At the time of termination of pregnancy may appear severe bleeding. This is dangerous, women need medical assistance, so you need to call an ambulance. Bleeding can begin in the event that the ovum has been incompletely removed, then it is removed by scraping or by vacuum.

Finally, the possible accession of infection, which will have an effect temperature rise - in this case also need to see a doctor.

Remember: absolutely safe abortion does not happen!

Galina Romanenko

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