Method Of Medical Abortion
Medical abortion or drug abortion is a method of using medicine to end a pregnancy. Drug abortion requires no surgery or anesthesia, can be done at the medical facility or at home but needs to be examined and re-examined at the medical facility.
Drug abortion aims to complete early miscarriage or unwanted pregnancy termination. You may also choose to have a medical abortion if you are in a medical condition that continues to pose a serious threat to health or life.
If you are considering implementing this method, make sure that you understand the conditions for implementation, side effects, possible risks, complications and alternatives
Drug abortion terminates early pregnancy
Risk of drug abortion
Potential risks of drug abortion include:
Abortion is incomplete and may require surgical abortion (surgery);
Unintended pregnancy when abortion fails;
Heavy and prolonged bleeding;
Infections, fever and the expression of fatigue, diarrhea ..
Drug abortion does not affect future pregnancy unless complications develop.
Conditions for performing a medical abortion
Drug abortion should only be performed when:
Pregnancy of 7 weeks or less and fetal size below 0.5mm (from the first day of last menstruation);
The fetus was identified as having entered the uterus;
Maternal health guaranteed to implement the method;
Performed at prestigious medical facilities, licensed by the Ministry of Health.
Drug abortion is not an option if:
Pregnancy greater than 7 weeks (from the first day of the last period);
Women have a ring;
Suspected ectopic pregnancy;
Women with coagulation disorders;
Women with cardiovascular disease; liver failure; severe kidney or lung; or seizure disorder;
Are taking an anticoagulant or some steroid medicine;
Do not perform at home without medical care in an emergency or without a follow-up visit;
Are allergic to the composition of oral contraceptives;
Prepare before abortion with medicine
Before a medical abortion, pregnant women need to:
Physical examination to:
Understanding medical history: not suffering from diseases on the list of drugs not allowed for abortion;
Assess the overall health status: are there conditions to implement the method;
Determination of pregnancy status (already in the uterus and without tumor growth)
Consulting doctor:
Explain the operating procedure of the method;
Consult possible side effects, risks, and complications;
Psychological counseling.
The regime of rest, living, good eating:
Eating enough nutrition, especially iron-free foods, because after abortion, pregnant women often lose blood and health.
Moderation activities to prepare a healthy body.
Psychological preparation:
Pregnant women before abortion need to prepare themselves mentally well and need a close relative to help stabilize psychology.
Women with cardiovascular disease and some special medical conditions are not allowed to use medical abortion
The abortion drug used
Drug abortion can be done with the following medications:
Mifepristone (Mifeprex) and misoprostol (Cytotec) by mouth
This is the most common abortion drug
Mifepristone (mif-uh-PRIS-tone) blocks the production of the hormone progesterone, which softens the uterine lining and prevents embryos from implanting and developing.
Misoprostol (my-so-PROS-tol stimulates the uterus to contract and expels the embryo through the vagina.
Oral mifepristone and vaginal misoprostol
The mechanism works similarly to the above two, but uses different ways:
Mifepristone is placed under the tongue;
Slow-acting misoprostol is placed in the vagina;
These drugs must be taken within nine weeks of the first day of the last menstrual period.
Methotrexate and misoprostol vaginally
Methotrexate (Otrexup, Rasuvo ...) can take up to a month to complete an abortion.
Methotrexate is used as an injection or put into the vagina.
Misoprostol is put into the vagina, effective when used before nine weeks of pregnancy. Misoprostol used only vaginally is less effective than other types of abortion.
How does abortion pills work?
Abortion pills are the generic name for using two different drugs to end a pregnancy: mifepristone and misoprostol.
First, take one mifepristone tablet. Pregnancy needs a hormone called progesterone to develop normally. Mifepristone prevents progesterone from giving pregnant women the opportunity to implant into the uterine lining and develop.
After 48 hours, take the second drug, misoprostol. This medication works to contract and push the fetus out of the uterus, causing bleeding within the next 24 hours.
If there is no bleeding within 24 hours after taking the second medicine, call the nurse or doctor.
Some side effects after using an abortion pill
The drugs used in abortion can cause:
Vaginal bleeding;
Abdominal cramps;
Nausea;
Vomit;
Fever;
Chills;
Diarrhea;
Headache;
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