Drug abortion is a modern and safe method. Although this procedure does not require surgical intervention, it is very important to know how it goes and what complications can occur, what the rehabilitation period after taking the medications looks like.
What is the drug method
It is a non-invasive procedure for termination of pregnancy at an early period - it takes the form of spontaneous miscarriage. It has the following advantages:
- efficiency - 95%;
- no risk of injury to the uterus during surgical procedures;
- low risk of infection;
- there is no danger of “earning” hepatitis or HIV, which can occur during surgery;
- no health risks associated with anesthesia;
- the effect on the female body is minimal, so such manipulations can be carried out even during the first pregnancy;
- low level of stress, which does not create traumatic situations that can harm the female body.
This procedure does not require a stay in the hospital for a long time, after taking the medicine you can go home. However, it is worth remembering that only a specialist can prescribe medicines.
Since this method of abortion is fairly new, many still resort to vacuum abortion, but it is worth remembering that in this case, the degree of intervention in the body and the risk of complications will be higher.
Dates of medical abortion
The dates are determined by the protocol of the Ministry of Health of the Russian Federation dated 14.10.2-15, which states that it is possible to carry out medication before the ninth week of pregnancy. However, in most European countries, the maximum period is 7 weeks.
Why are such terms defined? It is worth noting that in the fifth week of pregnancy the human features appear in the embryo, the laying of organs and umbilical cord begins. By the sixth week, the placenta is already forming, organs continue to develop. On the eighth week, the human fetus has a human appearance, during this period blood vessels of the placenta are formed, and for this reason, medication in this period can cause severe bleeding.
In Russia, for medical termination of pregnancy use such tablets as:
- Mifepristone;
- Misoprostol
The average cost of the procedure ranges from 15,000 rubles, depending on the clinic.
Are there any contraindications
This procedure has a number of contraindications. For example, you can not take drugs of this group in such cases:
- if the gestation period is more than 6 weeks;
- with ectopic pregnancy;
- in acute form of renal and hepatic insufficiency;
- in the presence of inflammatory processes in the digestive tract;
- in the presence of fibroids;
- after long-term use of corticosteroid drugs;
- in case of intolerance to mifepreston.
Also not recommended for medical abortion:
- during lactation - in this case, it must be interrupted for at least two weeks;
- women over 35;
- if the uterus has scars after surgery.
Permission to conduct a medical termination of pregnancy can be given only by the attending physician, after conducting a thorough examination of the patient.
How is the abortion procedure?
If a woman decided to terminate a pregnancy, then first she goes to her gynecologist, who carries out diagnostics to confirm pregnancy, sets a time limit, contraindications. Also at this stage, the doctor may advise to conduct a drug interruption in case of abnormalities in the development of the fetus: if pathologies are detected or when the mother feels when she cannot bear the child.
If there are no contraindications to childbirth, but the woman still does not want to give birth, she is given a small amount of time to think. If the woman still decided to terminate the pregnancy, the doctor determines whether there are contraindications to this procedure.
Medical abortion consists of several stages.
Stage One
A woman takes pills - 3 pieces (dosage - 600 mg). Moreover, throughout the entire stage, the patient should be under the close supervision of a specialist.
The duration of the stage depends on the response of the body to the drug.
Ideally, it lasts no more than six hours: during this period a woman may feel pain in the lower abdomen, bleeding may occur - this is a normal reaction to the drug, since the process of rejection of the ovum occurs.
After successful completion of the drug intake, the woman is prepared for the second stage of the procedure.
Second phase
It begins 1.5-2 days after taking the pills. And it is not necessary to go to the doctor: if the state of health is normal, it is enough to take the pills at home. It is important to remember that in the second stage there may be more bleeding and pain, so it’s worth taking a day off at work. If the pain syndrome is too strong, you can take painkillers.
Actions after taking pills
A few days after taking the medicine, it is necessary to consult a gynecologist: the doctor will examine, check whether the medicine has worked, if there are any remnants of the ovum left in the body, or if a rejection has occurred. In order to avoid unpleasant consequences, it is necessary to undergo a control ultrasound.
If egg remains are found in the uterus, the doctor prescribes further treatment.
After 1.5-2 weeks, the examination is again carried out, ultrasound is prescribed. If the ultrasound does not produce results, the doctor may prescribe a blood test to determine the level of HCG.
It is important to remember that during a medical abortion in the early stages, the success of the procedure is more than 95%, but if you apply later, there is a high probability of incomplete abortion, which will result in a vacuum.
After the events held, several important rules should be followed:
- During intercourse to use contraceptives, since a new pregnancy can occur even before the beginning of menstruation. And it is undesirable to have sex earlier than in 2-3 weeks.
- Should refrain from taking alcohol.
- Avoid visiting saunas, baths.
What could be the consequences
With such an abortion, complications are usually no more than 3-5% of cases, but they still happen. They need to be able to distinguish, because there are mild complications, for example, a small pain in the abdomen and rare bleeding, and serious problems, with the appearance of which you need to consult a doctor.
For example, a small pain, fever, which lasts for several hours after the diagnosis, chest pain is a normal reaction of the body to a medical abortion. You need to take a painkiller, such as Analgin or Ibuprofen.
But if the high temperature does not decrease within six hours or more, this may indicate an infectious process. In this case, an urgent need to consult a doctor.
Although infectious complications are not characteristic of this form of abortion, there are a group of people who are at greater risk than others:
- those diagnosed with bacterial vaginosis, chlamydosis;
- patients who have had a genital infection less than a year ago, but there is no evidence of complete cure.
Recovery after abortion
After taking the pills, the menstrual cycle is not disturbed, but when they go again, it is difficult to predict - the duration of the procedure matters here (in the early stages the cycle recovers faster).
The first periods can go in 1-2 months, but also much depends on the patient's condition. If after 60 days the monthly did not go, you should definitely consult a gynecologist for advice.
Despite the effectiveness and the minimum number of complications, medical abortion is not an ideal solution, since any intervention in the person’s internal environment may have consequences. To avoid them, you should think in advance about contraception and family planning.
Reviews
I decided to have an abortion - unfortunately, the pregnancy was unplanned. He was examined by a doctor, prescribed an ultrasound scan, tests - no infections and chronic diseases, they were given a go-ahead for medical abortion. I drank the pills, as the doctor said, as a result, blood began to flow, as if during menstruation, there was a slight pain in the stomach. Spotting was for two days, then a little smeared. After 10 days I did another ultrasound: everything went well. True had to take Regulon to restore the cycle.
Alena, 29 years old
According to medical indications, doctors have forbidden me to give birth, as a result I went for a medical abortion. Everything went very well, there were no complications, but my stomach ached incredibly badly, I saw very powerful painkillers.
Varvara, 31 years old
Unfortunately, for me, medical abortion did not go very well: there were very severe pains, blood was flowing for almost a week without stopping. As a result, it turned out that after taking the pills according to the doctor’s scheme, there was a fertilized egg, and I had to make an additional vacuum.
Angelica, 24 years old
