What is the danger of medication. Actions after taking the pills. How does it pass and what sensations are accompanied

There are several ways to terminate an unwanted pregnancy - with the help of surgical procedures or using pharmacological agents. It is easier for a woman to survive a pill abortion both physically and psychologically. This method is considered the safest, but you can only access it on early dates. The woman who took tough decision, you need to know about the nuances and risks of the abortive method.

You should carefully weigh the pros and cons before making a choice.

What is an abortion pill? This is the name of the procedure for terminating an early pregnancy with pills. Manipulation is also called pharmacological or medical abortion. Special "pills" were invented by French pharmacists in the early 80s. Experts decided to turn the idea of how to get rid of unwanted pregnancy in the early stages, and came up with a painless method. While the fetus is small, you can do without surgical procedures. Pharmaceutical development was tested for a long time to understand how it works, and for how long it is possible to terminate a pregnancy with a pill with minimal risks. After six years of clinical research, "pills" began to be actively used in medical practice.

How is a medical abortion performed? Simplified, it looks like this: if a woman wants to get rid of an unwanted pregnancy, she takes a “pill” - and the problem is solved. Tablets provoke uterine contractions, block the production of progesterone, after which the fetus is rejected. The success of the manipulation is evidenced by post-abortion bleeding. It is similar to menstruation.

In fact, the procedure is not as simple as it seems. There are a number of nuances that are important to consider. You need to know how long it is possible to terminate a pregnancy with pills, what drugs to use, and take into account contraindications. A pregnant girl should contact the clinic to clarify all the nuances.

Drinking abortion pills without first consulting a doctor is strictly prohibited.: can be applied irreparable harm to your health. The risks are especially high in case of violation deadlines medical abortion.

Optimal time

The first thing you need to know when deciding on a pharmacist is how long it can be done: medical abortion has clear boundaries. All features of medical abortion (including timing) are regulated by the protocol drawn up by the Ministry of Health. In Russia, up to 9 weeks, you can have a pill abortion. This period corresponds to 63 days of gestation. IN European countries the possibility of medical termination of pregnancy is reduced to 49 days, which is equal to seven weeks.

It will take a lot of effort to recover

It is no coincidence that medical abortion is limited to seven to nine weeks. At the eighth week, the embryo is already moving into a new stage - the fetus. This means that he gradually takes on a human form. From this moment, the formation of placental vessels begins. Even if we do not consider the ethical moment, getting rid of pregnancy is later dates using tablets is not possible due to high risks heavy bleeding. The blood loss can be so great that it can be fatal.

Having made a difficult decision, you need to find out how long the procedure is done in a particular clinic. Doctors think that optimal time holding - the fourth or fifth week. The minimum term reduces risks to zero and guarantees high efficiency manipulation.

Benefits of medical interruption

Tablet abortion is considered the most in a safe way solving the problem of the onset, but unwanted conception. The main advantage of this procedure is low level stress. It is much easier to take a pill than to decide on curettage. Pill abortion is not a traumatic procedure, which is important for a woman who is in a difficult situation. Not always a girl does not want to give birth due to some of her personal beliefs: there is a situation when the pregnancy cannot be maintained due to the patient's health. Among the indications for interruption is a high probability of the birth of a baby with genetic diseases. In such cases drug method abortion is the best option so that a woman does not get hung up on the problem. The procedure is non-invasive. Everything happens as if the pregnancy was interrupted as a result of a miscarriage.

Pharmaceutical abortion, in addition to psychological aspect, there are other advantages. The main ones are:

high efficiency (up to 98%);
painlessness;
no possibility of injury to the reproductive organs;
low risk of post-abortion infections;
exclusion of the possibility of contracting hepatitis or HIV;
lack of anesthesia.

Recommended medical abortion during the first pregnancy. Influence of pharmabort on female body minimum. Naturally, if the terms of the procedure are observed, and the pills for interruption early pregnancy selected by a qualified physician. The likelihood that a woman can easily become pregnant after a honeybort is high, while after a surgical interruption there is always a risk of reproductive dysfunction, up to infertility.

Preparation for manipulation

Before terminating a pregnancy with medication, you will need to undergo a series of tests. The first step is to go to the gynecologist. He will conduct initial inspections. To obligatory diagnostic studies relate:

vaginal swabs;
determination of blood group/rhesus;
tests for syphilis, HIV, hepatitis.

Carrying out the procedure

How is a medical abortion performed? Definitely in a hospital setting. The principle of medical abortion is based on drugs of different pharmaceutical groups. Two types of pills are immediately involved from abortion in the early stages.

progesterone antagonists. Drugs reduce the level of progesterone in the blood fluid. The result is destruction corpus luteum, necrosis of the fetal egg, rejection of the embryo. There are many names of abortion pills. It is not necessary to remember which pills can terminate a pregnancy. It is important to know that the primary drug is the one in which active ingredient is mifepristone. The description of the "work" of the funds is the same. Specific abortion pills are effective for how long - you need to check with your doctor, as there are small nuances. For example, some are effective only up to the sixth week, the second - up to the ninth.
Prostaglandins. The peculiarity of any drug in this group is that it starts the process of rejection of the embryo. How does medical abortion occur in the second stage? The drugs stimulate the process of opening the cervical canal. The myometrium and uterus contract strongly, which contributes to the release of the remnants of the dead fetal egg. Derivative drugs for early termination of pregnancy in Europe are used differently, in Russia - only Misoprostol.

Abortion pills must be selected by a gynecologist. It is important to find a specialist whom a woman will trust. For medical termination of pregnancy, the hospital will have to visit twice. First, the doctor gives the first pill, observes the patient for three to four hours. If everything went well, she is allowed to go home and given time to continue the manipulation. You need to return to the hospital to take medication interruption pills from another pharmaceutical group after about 36 to 48 hours.

On the third day after the completion of the procedure, a control examination should be carried out. Two weeks later, the woman is examined again, an ultrasound is always done. Only then can we conclude that the procedure was successful.

Is it possible to carry out the procedure at home

Taking drugs - a blow to the hormonal system

Even in the early stages of the house, it is undesirable to carry out a pill abortion. The procedure must be supervised by a doctor. He determines the dosage of drugs, monitors the patient's condition, checks whether the abortion has occurred and whether it was complete. If heavy bleeding occurs, the medical facility will provide professional help. For medical termination of pregnancy, you will have to return to the hospital, which is not very convenient. However, it is important to take medication interruption pills under medical supervision, so convenience issues are secondary here.

If a woman still decides to have a pharmacological abortion at home, then there should be a person next to her who, if necessary, will call an ambulance. Before taking the medicine, be sure to say: "I'm taking a pill called ...". Close person should know what pills for medical abortion the woman took, so that in the event of a critical situation, tell the doctors what the drugs were called.

Body reaction

Medical abortion drugs cause bleeding. This is a natural reaction of the body to the rejection of the fetus. How long the bleeding lasts and what character it is depends on the duration of the medical abortion. The earlier the manipulation is carried out, the better. If the procedure is done before the fourth week, then the bleeding is as similar as possible to normal menstruation. Normal discharge after a medical abortion lasts seven to nine days. There may be moderate drawing pains, as before critical days. When the procedure is done late, the discharge is observed longer. They are profuse and painful.

The pills used to terminate a pregnancy affect the general well-being of a woman. The body can react to the procedure with a number of unpleasant symptoms:

general weakness;
dizziness;
nausea;
vomiting;
high temperature;
diarrhea.

Medical abortion in the early stages is usually easy. Whereas in those patients who delayed the decision, there is a whole list of reactions in severe form. You need to tell your doctor about them. If unpleasant manifestations do not go away for a long time or are too pronounced, post-abortion therapy may be required. It aims to relieve symptoms and regulate hormonal balance.

Recovery

It takes about a month to recover from the procedure. In order for the recovery to be successful and fast, you need to follow a number of rules:

do not lift weights;
exclude physical activity;
do not take a hot bath;
do not visit the bath, sauna, swimming pool;
do not swim in open water;
avoid hypothermia.

During the recovery period, it is important to pay close attention strengthening immunity. It will help to increase the protective functions of the body balanced diet And vitamin complexes. Vitamins should be selected by a doctor. Alcohol should be abandoned. In the first month, you can not use tampons, only pads are allowed. It is recommended to avoid intimacy until the first menstruation is over.

In the first six months, it is important to exclude the possibility of pregnancy. It will become a serious burden for the body. With the question of selecting reliable contraceptives, you need to contact your gynecologist.

Possible Complications

Although drug interruption pregnancy and is considered the safest, but a woman may experience side effects of pills. Complications arising after medical abortion are dangerous to health and threaten the loss of reproductive function. The risks largely depend on how many weeks the interruption takes. If the procedure is carried out at an early stage, then the consequences rarely occur. The longer the gestational period, the more dangerous it is to take abortion pills. Complications include:

Blood loss. After the procedure, the presence of severe bleeding is dangerous with large losses of blood fluid. If you do not see a doctor in time, the consequences can be irreversible - even fatal. At strong secretions, which threaten a large loss of blood fluid, the doctor prescribes hemostatic drugs after an abortion. In an emergency, a blood transfusion may be required.
Allergic reactions. An allergy occurs to the components of the drug that the patient took to solve the problem of unwanted pregnancy. Meet different manifestations allergies: it depends individual characteristics, "sensitivity" of the immune system.
Strong pains. After manipulation, a persistent pain syndrome may be observed. Usually, such a complication occurs when medical abortion is done late - closer to the ninth week. If the pain is so severe that it is impossible to withstand it, you should immediately consult a doctor. Pain syndrome may indicate an inflammatory process that has arisen due to particles of the embryo remaining in the uterus.
Hormonal disbalance. Immediately after conception, the hormonal background of a woman begins to change. Pills disrupt the natural process of change. This can cause hormonal imbalance. “Knocked down” hormones can lead to infertility in the future, so the condition needs to be corrected.

Additional factors

Important to choose suitable method protection

Incomplete interruption. The procedure may not full effect, if it was carried out at a later date in the time period allotted for the abortion. Every week the fetus grows and "strengthens" its position. After rejection, particles of the embryo may remain in the uterus, which leads to inflammation, infectious diseases. Because of them, it may be lost reproductive function. Incomplete rejection is usually indicated by severe pain and severe fever. Ultrasound can confirm incomplete interruption. After diagnosis, curettage of the uterine cavity or vacuum aspiration is performed. Such procedures are an additional burden on the body and severe stress for a woman.

It happens that the pills do not work: the pregnancy progresses. Doctors diagnose only 1% of such cases. If the patient insists on interruption, then they turn to invasive methods. Women who change their minds and wish to continue the pregnancy should be aware that the drugs could have a teratogenic effect on the fetus. This means that there is a high probability that the baby will be born with deviations.

Contraindications

Medical abortion has many contraindications, so not every woman can turn to this method. Only a doctor can determine contraindications for medical abortion. He draws conclusions after examination, analysis, anamnesis. Contraindications include:

ectopic pregnancy;
acute infections of the genital organs;
large myoma;
porphyria;
anemia;
poor blood clotting;
long-term use of glucocorticoids;
exhaustion;
kidney disease;
liver disease;
diabetes;
lactation period.

Medabort is indeed the safest among modern methods termination of pregnancy. If you know how long you can do it, then you can not be afraid of medical abortion: the likelihood of complications is minimal. It is not worth delaying the decision, otherwise you will have to turn to the surgical method, which is much more dangerous than the medical one, and is psychologically much more difficult to tolerate.

For more than 25 years, there has been the possibility of non-surgical termination of unwanted pregnancies. The use of special drugs allows you to have an abortion even in the very early stages of pregnancy. What are the advantages and disadvantages of medical abortion?

What is medical abortion: a brief description of the procedure

(or abortion without surgery) is the termination of an unwanted pregnancy without surgical intervention, but with the help of special preparations.

The idea of terminating a pregnancy with the help of drugs has been nurtured by doctors and scientists for a long time, but only in the 70s of the last century did it become possible to do this effectively and relatively safely for a woman. At this time, the medicinal substance mifepristone, which is an antiprogestin, was developed in France. In the early 80s, large-scale studies of mifepristone as an abortion drug began in Geneva, and already in the late 80s, the method of medical termination of unwanted pregnancies using mifepristone, prostaglandins and other drugs began to be used in France.

According to social and medical studies conducted in European countries, women prefer medical abortion because different reasons. On the one hand, there is a fear of surgery. And secondly, medical abortion is easier to hide from loved ones if a woman does not want her relatives or friends to know about this procedure.

What are the main advantages of medical abortion over surgical

In addition to the absence of the need for surgical intervention and the ability to hide the abortion from your loved ones, medical abortion has many advantages, including:

Medical abortion can be performed at the earliest stages of pregnancy: from the first day of missed menstruation and up to 6-7 weeks. At this time, the fetal egg is still poorly attached to the uterus, and pronounced hormonal changes have not yet been observed. After a set period, the effectiveness of medical termination of pregnancy is markedly reduced. Termination of pregnancy at a very early stage allows to reduce to a minimum hormonal stress for the body.
With medical abortion, the risk of infection, the development of adhesive processes, injuries of the uterine cavity, the development of endometritis and other gynecological complications that occur with surgical abortion.
Medical abortion is a painless procedure (especially for women who have given birth). In nulliparous women, minor soreness is possible, which does not require anesthesia.
The risk of infection with severe viral diseases (for example, hepatitis or) is excluded.
The risk of developing secondary infertility is excluded.
Medical abortion is very similar to heavy menstruation, and a woman psychologically perceives it as a natural process.
For the implementation of medical abortion, a woman does not need to go to the inpatient department.
Medical abortion is also suitable for women in young age who are forced to terminate an unwanted pregnancy.

How does a medical abortion work - a description of the procedure

Medical abortion is a procedure that must necessarily take place under the supervision of a doctor after all necessary examinations. A medical abortion takes place in several stages, including:

Preliminary inspection. After pregnancy is detected, the woman is sent for a consultation with a gynecologist for a preliminary examination. The doctor examines the patient, performs an ultrasound to determine the gestational age and establish the fact that the fetus is developing in the uterus. Then the patient must confirm the desire to terminate the pregnancy and sign the relevant documents.
Analyzes. After determining the gestational age, a woman should take blood tests (for blood type, Rh factor), the Wasserman reaction and take a swab for the flora. If the tests are normal, and there are no contraindications, then the doctor gives the woman a drug to drink (usually 3 tablets of 200 mg each). No food should be taken 2 hours before and 2 hours after taking mifepristone.
The second visit to the doctor 36-48 hours after taking the drug. The next stage of medical abortion is the expulsion of the fetal egg from the uterus. To do this, women give out prostaglandins and clearly instruct about all the possible sensations that may occur when the fetus is expelled from the uterus. As a rule, the woman is asked to stay at the clinic for 24 hours to monitor her condition. Sometimes a woman is allowed to go home, provided that she strictly adheres to all the recommendations, and in case of severe pain, she will definitely contact her doctor or take the permitted ones.
First control ultrasound. 3 days after taking the drug, the woman should appear for the first control ultrasound. In the case when the remains of the fetal egg are found in the uterus, the doctor decides how to proceed.
The second control ultrasound and examination. The second time a woman should come for a second examination 7-14 days after taking the drug (the doctor will accurately inform you about the timing). If necessary, the doctor directs for various tests, in particular, the determination of chorionic gonadotropin.

Medical abortion: terms of pregnancy at which it is permissible to terminate a pregnancy

Medical abortion can be performed up to 42-49 days from the first day of the last menstruation. The effectiveness of medical abortion increases when it is carried out in the early stages. After the allotted 42-49 days, the effectiveness of medical abortion is markedly reduced, which may necessitate other methods of abortion (vacuum aspiration, surgical abortion).

After taking mifepristone, after 36-48 hours, a woman should take prostaglandins. Then after 3 days you need to come for a follow-up examination. Another examination is carried out 7-14 days after taking mifepristone.

Consequences of medical abortion

What happens during a medical abortion? After taking 600 mg of mifepristone, a process is launched aimed at the death of the fetus. Mifepristone binds to progesterone receptors, thereby blocking the action of the hormone that stimulates endometrial growth. At the same time, the sensitivity of the myometrium to the hormone oxytocin is restored in a woman. The myometrium begins to contract intensively, which leads to termination of pregnancy.

36-48 hours after taking mifepristone, a woman takes prostaglandins, under the influence of which the uterus begins to contract intensively, which leads to the expulsion of the fetus from its cavity.

Complications of medical abortion

Medical abortion is considered the most safe method termination of pregnancy, and at the same time it is not without drawbacks. In particular, when taking drugs (especially large doses of prostaglandins), adverse reactions are possible, among which the following most often occur:

Pain sensations. With medical abortion, various pain sensations are possible that require anesthesia. IN this case everything will depend on the characteristics of the woman’s body, her emotional state and pain threshold. Beforehand, the doctor will tell the woman about the possible painful sensations and recommend antispasmodics and analgesics. Taking medications on your own is not recommended.
Nausea and vomiting. Pregnancy itself can lead to such symptoms, toxicosis-causing. However, prostaglandins prescribed by your doctor can also cause nausea and vomiting. As a rule, such side effects occur extremely rarely. They go away on their own, but in some cases, the use of antiemetic drugs is also acceptable.
Heat. In some cases, prostaglandins given to a woman to increase the contractile activity of the uterus contribute to the body. As a rule, the temperature does not rise above 38 degrees and lasts for several hours. If heat lasts more than 4 hours, then this, as a rule, is not associated with taking medications, but rather is a consequence of an infectious inflammatory process. You should tell your doctor about these symptoms. You may need special treatment.
Diarrhea- occurs relatively often, but is of a short-term nature and does not require antidiarrheal drugs.
Heavy bleeding. As with, medical abortion is accompanied by profuse bleeding. Severe bleeding is possible in cases where a woman has problems with blood clotting.
Hematometer. This is a collection of blood clots in the uterine cavity that can occur after a medical abortion. This condition develops due to spasm of the cervix, and the hematometer can be eliminated with the help of medicines prescribed by a physician.

Medical abortion contraindications

There are some circumstances in which medical abortion is contraindicated:

long-term use of glucocorticoids;
acute inflammatory diseases of the female genital organs;
impressive size;
blood clotting disorders;
extragenital pathologies of severe forms;

After medical abortion

Immediately after a medical abortion, a woman should start using contraceptives, since a subsequent pregnancy can occur even before the onset of menstruation.

It should be borne in mind that in very rare cases, after a medical abortion, the pregnancy is not terminated. And if a woman after that decided not to terminate the pregnancy, then she must understand that the fetus may have some congenital pathologies while taking medication for medical abortion. In particular, cases of teratogenic effects of prostaglandins on the fetus are known. According to statistics, there are 10 congenital defects for every 1,000 births after an unsuccessful medical abortion.

Medical abortion (termination of pregnancy with pills) is the newest way to end a pregnancy on early stages without surgical intervention.

THE COST OF A GYNECOLOGIST'S CONSULTATION IN OUR CLINIC - 1000 rubles. GYNECOLOGIST CONSULTATION ON THE RESULTS OF ULTRASOUND or ANALYSIS - 500 rubles.

Modern censorship does not recommend advertising means and methods of emergency contraception and abortion, considering it immoral. But gynecologists say that it is much more immoral to have late-term abortions or abandon newborn babies in maternity hospitals. So, let's not be hypocrites, and let's talk about the advantages and disadvantages of terminating a pregnancy in the early stages.

The essence of medical abortion is the reception of specially created for this purpose hormonal drugs Mifepristone, Mifegin, Mifepristone and others.

What is medical abortion

If earlier interruption unwanted pregnancy was carried out exclusively by surgery, now, for more than twenty-five years, emergency medical contraception is possible. For this, there are special medical preparations, taking which it becomes possible to prevent pregnancy without surgery.

How does such an abortion happen? This type of abortion is carried out due to the action of pills that cause rejection of the fetal egg without the direct intervention of a gynecologist. Under the influence of the substance present in the tablet, the effect of progesterone is blocked. In other words, the doctor does not use surgical instruments and, therefore, cannot damage the uterus or infect the uterus, which is especially dangerous for nulliparous women.

A medical abortion does not differ in signs from a natural one (spontaneous abortion), which is why it is called a medical miscarriage provocation. In women, within 2 days appear bloody issues, the lower abdomen hurts like contractions. Additional symptoms- Nausea, diarrhea, mild weakness, mild fever.

Other names for the procedure: medicinal, chemical, pharmacological, velvet abortion, drug provocation spontaneous abortion. Often it is called safe, although this is not entirely true - there are still some risks, but we will talk about this later.

Grounds for termination of pregnancy: is it necessary to have an abortion?

At an early stage, while the fetus is in the embryonic stage, no permission from doctors, spouse, etc. not required. The decision to have an abortion is made by the woman herself. The reasons for such a difficult step are usually:

Serious illness, untreated infection, poor heredity in the father of the child or the woman herself.
The opinion that a child takes a lot of time and effort, and food, clothing and children's accessories require a lot of money.
Fear of condemnation from a man, relatives, others, if the child has to grow up without a father.
Domestic disorder, financial aspect, lack of prospects in life.
The need to continue education, the desire to continue a career, especially if it is associated with appearance or freedom in relationships, movement.
The desire for a carefree, noncommittal life.

Before making a decision have a medical abortion, think carefully whether your arguments are worth the opportunity to give birth to a baby. If the reasons are really serious - do not pull, immediately consult a gynecologist.

Timing: when can you have a medical abortion

Each country sets its own deadlines for medical abortion. For example, in the US, this type of abortion is allowed only up to 7 weeks (from the first day of menstruation). The UK College of Obstetricians and Gynecologists recommends medical abortion at different terms: 1) up to 8 weeks, 2) 9-13 weeks 3) up to the 24th week of pregnancy.

Russian doctors believe that such an abortion is optimal before the sixth week of pregnancy. There is information that in Russia medical abortion can be done up to 9 weeks of pregnancy (this is not prohibited), but many doctors do not risk taking such responsibility. In their opinion, later than 6 weeks, it is dangerous to take pills, because a miscarriage that has begun can cause bleeding or inflammation caused by the remains of the placenta in the uterus. At a later date, mandatory mechanical cleaning(curettage) of the uterus, regardless of the cause of the miscarriage.

From the above it can be concluded that: used to be a woman will turn to a gynecologist, the more effective the procedure will be and the less likely the occurrence of complications. Therefore, if the pregnancy is unwanted, you should go to the gynecologist immediately if you suspect conception.

Is medical abortion safe? Can it be done at home?

The Internet is full of articles about medical abortion at home. But if it's so simple, why aren't abortion pills sold in pharmacies? The answer is unlikely to please you. Despite the apparent ease of the procedure, it cannot be considered completely safe.

Medical abortion, although it carries minimal risks, nevertheless, disrupting the course of the normal pregnancy process, abruptly interrupts the active hormonal changes associated with preparing a woman’s body for bearing a child.
This seemingly safe abortion has contraindications.
Only an analysis for hCG in combination with ultrasound can confirm the presence of pregnancy.
In some situations, the pills do not work and the pregnancy persists. The gynecologist should control the process.

You can't do it at home. Moreover, you can’t buy abortion pills on the Internet, pharmacies or by hand, according to an ad. There is a huge possibility of buying counterfeit drugs that will not lead to interruption and may cause poisoning. Abortion drugs can only be purchased by a representative of a clinic licensed to perform medical abortion. Each tablet is strictly registered by the state.

Possible complications after velvet abortion pills

incomplete abortion when the fetal egg is not completely released or completely left. In this case, the doctor will prescribe a vacuum extraction or a full-fledged curettage of the uterus with a curette - an ordinary abortion. It is possible to assume a complication by the presence of secretions. If menstruation does not start 48 hours after taking the medicine, you need to contact a gynecologist.

Inflammation in the uterus and appendages . It may occur due to the spread of infection from the urinary tract. The temperature rises, the stomach hurts incessantly. There may be discharge unusual for critical days.

Problems with the uterus. Lochiometer (ichorus, serous discharge in the uterus), hematometer (blood in the uterus), subinvolution of the uterus (delayed recovery of the organ). In this case, there will be pain in the abdomen, problems with critical days, etc.

Prolonged bleeding up to 2 weeks . In about 3-5% of women, abortion pills cause hormonal disbalance- the cycle becomes irregular, bleeding between periods is not uncommon. Other types of abortions guarantee failure in 12-15% of cases. The reason is neuroendocrine disorders leading to amenorrhea (absence of menstruation), resulting from a violation of the ability of the endometrium (uterine lining) to recover. And if, after taking abortion pills, the hormonal background is easy to restore, with trauma to the deep layers of the endometrium and uterine muscles surgical method abortion, it will not be so easy to do. In a woman who has given birth, the cycle will return to normal in 3-4 months, in a woman who has not given birth, the restoration of functions will take at least six months.

Do not forget that hormonal failure after an abortion is not only problems with critical days. This is a metabolic disorder, sudden fullness, the appearance of cellulite, acne etc. A woman's character deteriorates, she feels bad, looks worse and cannot become pregnant. If such symptoms appear after a medical abortion, you need to urgently take tests for hormones. The list of tests, based on the signs, will be indicated by the gynecologist.

Contraindications. How to reduce the risk of miscarriage with medication

As noted earlier, this type of abortion should not be resorted to if the gestational age has exceeded six weeks. In addition, if there is a suspicion of an ectopic pregnancy, then medical abortion is completely contraindicated. Treatment outside uterine pregnancy performed by surgical methods.

You can not use this type of abortion when:

anemia;
existing uterine myoma;
violations of hemostasis (hematopoietic functions) due to the risk of severe bleeding.
severe arterial hypertension;
severe liver disease;
at hypersensitivity to misoprostol, mifepristone;
porphyria.

In contraindications adrenal and renal insufficiency and bronchial asthma. Mifepristone disrupts the balance of adrenal hormones needed to treat asthma by blocking them. The drugs used to treat such pathologies also become ineffective.

To avoid any problems, you must:

Get tested at the clinic to make sure you have normal pregnancy. Signs of an ectopic pregnancy can completely coincide, but pills for medical abortion in this case will not work and the ectopic will develop, up to the rupture of the tube.
Confirm gestational age with ultrasound . If this is not done and, in fact, the pills are taken later than the permissible dates, you still have to go for curettage, which is akin to a regular abortion.
Check for contraindications to taking pills and generally artificial termination of pregnancy.
Get tested after taking the pills to make sure the pregnancy is terminated and there are no remnants of the fetal egg in the uterus. In 2% of cases, abortion is ineffective - pregnancy under the influence of pills is not interrupted.

Before a medical abortion, the doctor will ask you to sign an informed consent for the procedure. Without this document, it is impossible to have an abortion - it will be a violation of the law. At the same time, one should not think that the clinic disclaims responsibility for complications. Consent only confirms that you went to this procedure voluntarily and were warned about the possible consequences.

Benefits of Medical Abortion

If we compare several types of abortion, then medical abortion has a number of advantages over all others:

The main advantage of emergency contraception is the non-invasiveness of the procedure, which eliminates the complications that are possible with surgical abortion. Since there is no mechanical effect on the walls of the uterus, the organ will definitely not be damaged - this protects against infertility. In addition, the endometrium of the uterine cavity is not damaged, which gives a quick recovery of menstruation.
It is possible to terminate an unwanted pregnancy from the very beginning of a missed period. You don't have to go to the hospital.
High efficiency. The effectiveness of the non-surgical method is about 96%.
Full control of the patient's condition at all stages of the procedure. Selection of a safe dosage of the drug, taking into account the health of the woman. Possibility to choose the drug by action and cost. There is no need for anesthesia.
Safe emergency contraception without surgery - it is not scary and not painful. Due to the absence of a damaging effect on the reproductive and reproductive systems, there is no need for further treatment. Complications after such a procedure practically do not arise if it was carried out correctly.
The penetration of infection is excluded, adhesions are not formed, the development of gynecological complications occurs in isolated cases. There is no danger of contracting hepatitis or AIDS. Does not threaten secondary infertility.
Psychologically, drug abortion is perceived by women much easier, therefore, from a moral point of view, given minimum terms pregnancy, it can be called morally sparing.

This is indeed the most gentle type of abortion, although, of course, there are still some risks. Often, women are faced with the fact that their cycle goes astray, the problem is solved by prescribing drugs for hormone replacement therapy. With other types of abortion, the consequences are more serious - up to possible infertility - in this case, a long and expensive treatment is ahead.

What does the examination before a sparing abortion include?

After a woman has found out about her pregnancy, it is necessary to visit a gynecologist who will conduct a preliminary examination. Before medical abortion, the gynecologist:

Clarifies information (anamnesis) about the patient's health, including previous and existing diseases.
Will conduct a gynecological examination using a bimanual (manual with the use of mirrors) method to clarify the gestational age, exclude ectopic pregnancy and other gynecological pathologies that can be harmful during the examination.
Talk about the dangers of abortion and possible complications(this is required Russian legislation and medical ethics).
Next, you will need to donate blood to general analysis, coagulogram, RW analysis for syphilis, hepatitis B and C and HIV, smear for flora (presence dangerous infections) and undergo an ultrasound, which allows you to determine the duration of pregnancy.

How is the procedure

In the absence of contraindications, the gynecologist prescribes the selected drug in tablets to the woman, which must be taken 2 hours before meals. After taking this medicine can't eat for 2 more hours.

A pregnant woman in the presence of a gynecologist takes 1-3 tablets of the drug (depending on the chosen medication), after which she goes home. If the tablet began to act, after 1-2 days, discharge appears, as during menstruation. This indicates the rejection of the fetal egg. During this period it is possible discomfort similar to painful critical days. If there are debilitating pains and prolonged bleeding, the doctor will prescribe painkillers and hemostatic agents. When symptoms unusual for menstruation appear - fever with chills, weakness, sharp pains in the lower abdomen, significant bleeding, etc., you need to urgently contact a gynecologist. In such cases, curettage of the uterine cavity may be required, i.e. in fact, carrying out a conventional abortion.

Next, the first control ultrasonography 3 days after the patient took the medicine. The gynecologist must make sure that there are no traces of the fetal egg in the uterus. Such residues rot and infect surrounding tissues, causing severe bleeding and other post-abortion complications. If residues are found in the uterus, the doctor decides on further actions.

A second examination is carried out in a week: the day of the visit is appointed by the doctor. If necessary, additional analyzes can be carried out, for example, the determination chorionic gonadotropin. Please note: spotting can go on for 2-3 weeks - this is normal.

In some cases, the examination procedure can be simplified. For example, if a woman has already taken some tests and was examined by this gynecologist. Much also depends on the drug chosen.

Important conditions: pills when breastfeeding, etc.

If a woman becomes pregnant with an established intrauterine device, the gynecologist must first remove the contraceptive. Medical abortion can be performed immediately after the procedure.
It is not recommended to terminate pregnancy with pills for smoking women over the age of 35, since in most cases they have problems with blood vessels.
If there is inflammation in urogenital area, treatment can and should be carried out simultaneously with medical abortion, so as not to spread the infection.
When taking mifepristone and misoprostol during breastfeeding, you need to express milk for a day. These drugs pass into milk and how they affect the baby is not yet known.
A new pregnancy after a medical abortion may occur in the next cycle, so after the procedure, you should refrain from intimate relationships for 2 week.

What drugs are used for abortion pills

The doctor selects the drug individually. In Russia, various combinations of drugs are allowed for use: mifepristone (it is often called incorrectly - mefepristone or mefipristone) or its analogues - mifegin, pencrofton, mifolian, RU 486, as well as misoprostol and its analogues - Cytotec, Cytotec. There are also approved abortion pills - mifeprex. Methotrexate can be used as an injection.

Mifepristone is a synthetic antagonist of the pregnancy hormone progesterone. It blocks its action on the uterus, causing the endometrium, which lines the uterus from the inside and keeps the embryo safe, to thin. The embryo can no longer be held in the uterus, it has nothing to eat, so its growth and maturation are disturbed. This is what causes the abortion. Mifepristone is used in combination with small doses of drugs - prostaglandins that cause uterine contractions, which accelerates the rejection of the fetal egg.

Misoprostol is an artificial analogue of prostaglandin E. It softens the cervix and causes it to contract. So the fertilized egg leaves the body. This drug is also used in other areas of medicine, for example, in gastroenterology for the prevention of stomach ulcers.

Methotrexate is a very strong drug. This is the antagonist folic acid used for medical abortion in patients who do not plan to have more children. This medicine is used in gynecology and for the treatment of certain types of ectopic pregnancy. It is also a popular drug in oncology and rheumatology.

MORE ABOUT ABORTION PILLS ON OUR SITE

The scheme of taking pills for medical abortion in our country and in Europe

There is no universal scheme for medical abortion with these drugs. Each gynecologist chooses a technique that he has tested, which gives best result without complications. An obligatory moment is an assessment of the woman's condition (age, number of births, body weight, hormonal levels, etc.). Therefore, information on dosages of drugs for termination of pregnancy is given for informational purposes only.

So in the instructions for mifepristone, in order to terminate a pregnancy before 9 weeks, the recommended single dosage of 600 mg of the drug is 3 tablets of 200 mg. Food reduces the effectiveness of any medicine, so you need to drink tablets before meals or after 1.5 hours. After two days, you need to take 2 more misoprostol tablets (400 micrograms). As mentioned above, you can take abortion pills only in the presence of a gynecologist.

In Europe, the scheme is different. To terminate a pregnancy up to 49 days, a woman is given 200 mg of mifepristone, 48 hours later another 400 micrograms of misoprostol. For up to 63 days, the dose of misoprostol is increased to 800 mcg, but the drug is injected into the vagina or offered to dissolve under the tongue. If no miscarriage occurs within 4 hours, the gynecologist prescribes a second dose of misoprostol - 400 micrograms. Naturally, such dosages significantly affect the hormonal status of the patient.

In the early stages of 9-13 weeks, European doctors prescribe a single dose of 200 micrograms of mifepristone, with 800 micrograms of misoprostol administered vaginally two days later. If this does not work, continue exposure to misoprostol 400 mcg. The procedure is allowed to be repeated up to 4 times, every 3 hours.

Pregnancy with a period of more than 13 weeks is terminated according to the same scheme, but if the abortion does not occur, after 4 attempts with misoprostol, wait 3 hours and repeat the dose of mifepristone, supplementing it with misopristol after 12 hours. As you understand, Russian doctors do not go for such experiments, worrying about the condition of their patients.

US Medical Abortion Scheme

In the US, the scheme, on the contrary, is more forgiving. In early pregnancy, mifepristone 200 mg is recommended, followed by oral misoprostol 800 mcg 48 hours later. At the same time, with a gestational age of up to 60 days, the effectiveness of abortion is 98.3%.

In addition to these methods, it is possible to perform medical abortion by combining an injection of methotrexate with oral or vaginal misoprostol. This regimen requires more time and, if the pregnancy persists, there is a high risk of fetal abnormalities. When using misoprostol without methotrexate, a huge dose of the drug is required, and miscarriage occurs for a long time. In this case, the likelihood of a complete abortion is reduced. For these reasons, these schemes are not used in many medical centers.

How much does a medical abortion cost?

In each clinic, abortion with pills costs differently. But you should not choose the cheapest option, as it will turn out to be the most expensive. Typically, medical centers indicate the full cost of the procedure, including ultrasound, the cost of pills and consultations. Some clinics go to the trick, indicating the cost of an abortion in the price list without an examination.

In our clinic, the price of medical abortion with examination excluding discount will be like this:

IN currently There is a great discount on early abortion! Ask the administrator for details.

Prevention of unwanted pregnancy

In order not to face this problem in the future, you need to seriously think about contraception. The most popular types include:

Barrier (condom);
intrauterine devices;
Birth control pills.

It is important to note that the selection of contraceptive drugs is carried out by a specialist strictly individually. You can put a spiral immediately after the termination of pregnancy in a medical way.

Every woman has the right to decide whether to terminate a pregnancy or give birth. Thanks to the emergence of such painless method abortion in the early stages, medical abortion does not threaten infertility or complications. The main thing is to contact the clinic in time and not delay the examination.

Attention! Abortion is bad for a woman's health!

Absolutely for any medical procedure possible risk of complications and medical abortion not at all an exception! Undoubtedly, today pharmacological abortion is considered one of the most gentle methods of terminating an unwanted pregnancy, however, it is absolutely not without serious consequences and sometimes complications for a woman are very, very difficult and dangerous.

In addition, one cannot be 100% sure that pharmacological abortions end only conservatively, since there are cases and quite frequent ones when doctors have to curettage the uterine cavity, which is fraught with serious consequences!

medical abortion

Medical abortion carried out with the help of drugs of the antiprogestin group. As a rule, the composition of these drugs includes - Mifepristone. Also antiprogestins include: RU486, Penkraton and Mifegin - the action of which is to block progesterone-sensitive receptors. As a result of this process, the uterus begins to contract intensively and pushes the embryo out.

Complications

1) The development of complications after medical abortion is associated with hormonal changes occurring after taking abortive drugs.

2) Pharmacological abortion is usually performed on an outpatient basis, and the vast majority of women have abortions at home without medical supervision. Thus, the patient is often not able to adequately assess a particular situation and, accordingly, seek medical help in a timely manner.

3) The occurrence of complications directly depends on the age of the woman, her concomitant diseases, the presence of bad habits and much more.

To the most dangerous complications medical abortion include:

Progressive pregnancy

Sometimes, after taking Mifepristone, the expulsion of the embryo from the uterine cavity is not carried out. In this case, the woman does not have the expected menstruation, while signs of toxicosis (nausea, vomiting) persist. After a pregnancy test and gynecological examination and pelvic ultrasound developing pregnancy- confirmed! In this situation, the removal of the fetus is possible only by surgery (ie, curettage of the uterine cavity)!

Bleeding

Soon after taking abortive drugs, a woman has profuse uterine bleeding, which is directly related to the rejection of the ovum and decidua. Usually, such bleeding continues for 2-3 days, gradually turning into spotting, which can last for 3-4 weeks, which, of course, gives the woman great discomfort.

But in addition to scanty spotting, heavy bleeding may occur, which is a threat of death! Abundant uterine bleeding - requires immediate curettage of the uterine cavity. Profuse bleeding can be the cause of violations of the blood coagulation system under the influence of colossal doses of hormonal drugs and the presence of remnants of the fetal egg.

Side effects of mifepristone

Dangerous complications of medical abortion include side effect drugs that cause nausea, vomiting, headache, dizziness, weakness, severe pain in the lower abdomen, fever and diarrhea. Very often they are so pronounced that it requires immediate hospitalization, while the repeated use of abortifacients, which largely violates general state women.

Overdose

When taking mifepristone in a dose that exceeds 2 grams, some women experience acute adrenal insufficiency.

Interaction

Use this drug with other drugs, for example, with aspirin, it may not give the necessary abortive effect! Mifepristone should not be used with other non-steroidal anti-inflammatory drugs.

Hormonal imbalance

Pharmacological abortion can cause the development of various hormonal disorders(menstrual cycle, formation of cysts, ovaries, amenorrhea).

allergic reactions

Medical abortion can cause severe allergy in some patients, which often manifests itself as a skin rash, sometimes hives.

Disorders of the nervous system

medical abortion, like other types of abortion, is a severe shock and stress for any normal woman! Sometimes experiences are so difficult that it often leads to the development of depression, neuroses and even mental disorders!

N.B. Our clinic does not provide medical interruption pregnancy!

Medical abortion is an abortion that is carried out without any surgical intervention - vacuum aspiration or cleaning of the uterus. This type of abortion has been practiced since 1985, but in Russia it is only gaining momentum. Not many people can afford it due to the high cost. But it is not always too expensive, there are options on how to save money without harming your health.

So, it will be much cheaper to terminate a pregnancy if you find a clinic where the domestic drug Mifepristone is used for this procedure. It doesn't have to be an advertised clinic in the city center with famous doctors, expensive appointments and examinations - all this adds up to the cost of an abortion. IN Russian regions you can find an option for about 5000 rubles. In large cities it is more expensive, but not significantly.

Benefits of the procedure

But it's worth it because Negative consequences medical abortion in the early stages are essentially absent. Some difficulties may arise due to incomplete miscarriage. But it happens literally in 2-3% of all procedures. But a woman does not have stress due to gynecological manipulations, which are very painful, if without the use of high-quality anesthesia, there are no consequences for reproductive system (future pregnancy), since there is no inflammatory process, the cervix is \u200b\u200bnot injured.

Indications and contraindications

pill abortion), where to start? From a visit to a gynecologist at a clinic that provides this type of abortion service. Not every clinic has a license for this. Your doctor will need to make sure that you are at the correct gestational age for pill abortion. And this is a maximum of 6 weeks. The period is determined not by a simple calculation from the first day of the last menstruation indicated by the patient, but by the results of an ultrasound examination. The doctor sees the size of the fetal egg and its localization. Medical abortion is possible only during uterine pregnancy, and not due to the use of an intrauterine device - a contraceptive.

But even if the gestational age is suitable, the doctor may refuse the service if:

A woman is over 35 and smokes more than 20 cigarettes a day ( high risk cardiovascular pathology, which increases even more after taking strong drug for miscarriage), in severe hypertension;
with low blood clotting;
with renal or hepatic insufficiency;
intolerance to drugs used for abortion (active ingredients mifepristone and misoprostol).

Relative contraindications are bad analysis smear, negative Rh factor(the issue is resolved by the introduction of anti-Rhesus globulin after an abortion to prevent Rh conflicts in subsequent pregnancies), genital infections in the acute phase.

Visits to the doctor

At the first visit, the doctor conducts an examination, which we wrote about earlier. And if no contraindications are detected, he tells the patient in detail about medical abortion, what happens after taking the pills, what is normal and what is not. How to behave, whether it is possible to take painkillers and which ones. Usually leaves his phone number for emergency advice, if needed after taking the drug.

Further, he gives out 3 tablets of Mifepristone. After that, the woman is briefly delayed in the clinic and sent home. The doctor warns her that she may experience cramping pain and spotting from the genital tract. This is the norm. Of the painkillers, it is better to give preference to Paracetamol, as the safest in this case. It does not interact with the abortion drug in any way.

But miscarriage occurs after taking Mifepristone only in a very small percentage of women. And after 36-48 hours, the woman should visit the doctor again to get misoprostol tablets. She also takes them in the presence of a doctor and stays in the clinic for 2 hours. Then he goes home.

After taking this drug, cramping pains and bleeding increase. The fetal egg and its membranes are rejected. The endometrium comes out of the uterus in clots. Copious discharge can last up to 3 days, and moderate, as during menstruation - up to 14 days. Urgent health care required only when heavy bleeding. When two get wet in one hour sanitary napkin and more. But this is rare.

And finally, the third visit in 10-14 days. The doctor performs an ultrasound examination to make sure that the miscarriage was complete. Otherwise, vacuum aspiration will have to be done. Even if the embryo continued to develop, and the woman changed her mind about having an abortion. Since the drugs had the most Negative influence per child, he will not be born full-fledged.

After a miscarriage

What happens after a medical abortion with a woman's body, when can you conceive a child again? At once. 75% of women ovulate on the first day menstrual cycle after an abortion. That is, fertility is not impaired. Moreover, the child can be left, since the drugs taken 2-3 weeks before conception will no longer have a negative effect on him.

But if pregnancy is not included in the plans, reliable contraception is needed. Doctors recommend oral contraceptives or the installation of an intrauterine system.