Medical termination of an early pregnancy

In the article, we will consider how drug termination of a frozen pregnancy is carried out.

Such pregnancies are conditionally divided into early pregnancies (they occur in about 1 out of 5 cases) and late (they are considered abnormal). It is worth noting that the earlier the fading occurred, the faster the woman’s body recovers. The occurrence of pathology involves interruption. The least traumatic for a woman is considered medication. On the territory of Russia, it is legally permitted only until the 7th week.

Interruption Methods

Termination of a frozen pregnancy can be done in several ways. Typically, the method depends on how long the pregnancy has stopped.

For example, if a fetal egg or embryo stopped developing before the 7-8th week, then medical abortion is preferred. If fading occurs at a later date, specialists prefer such a method of interruption as curettage.

By medical termination of a frozen pregnancy, it is customary to understand the evacuation of the embryo using special spasmodic drugs.

Medical abortion

Regardless of the type of pregnancy (abnormal, life-threatening woman, complex), her termination is always a stress for the female body. Medical abortion is considered the least traumatic option.

Fading of the development of the fetal egg or fetus is determined by ultrasound. The specialist carries out a control study and, if the obtained analysis results indicate a decrease in the concentration of hCG, prescribes a medical or surgical abortion.

Preparation for the procedure

Before an abortion of any kind, a woman is prescribed a test:

1. Laboratory examination of blood samples for a blood group, Rh factor, syphilis, hepatitis, HIV.
2. Visual gynecological examination. It is necessary to identify pathologies of the reproductive system, if any.
3. Ultrasound examination of the pelvic organs. Using ultrasound to determine the exact gestational age, the possibility of an abortion.

So, how is the medical termination of a missed pregnancy carried out?

Manipulation Technique

By medical cleansing, it is customary to understand the process of aborting with the help of medications if the fetus stops developing at an early stage. This procedure is mandatory: without abortion, a full recovery of the body is impossible, a woman has a risk of infertility.

Medical interruption of a frozen pregnancy is carried out exclusively in stationary conditions. A woman after a gynecological examination and examination takes the first pill under the supervision of a specialist. Under its influence, the remnants of the tissue exfoliate inside the uterus. After this, the woman takes a second pill so that a uterine spasm occurs. After a while, a painful cramping pain occurs, resulting in a complete evacuation of the fetal egg from the uterus.

After spotting occurs, a woman is subjected to a second ultrasound examination to monitor the procedure - to assess the condition of the uterine cavity.

If a woman feels normal, and her health condition does not cause a doctor’s concern, she can go home. The maximum period of stay in the gynecological department is 8-12 hours. In some cases, a woman is prescribed a gynecological examination the next day. It is necessary to monitor the condition of the uterus.

Benefits of Medical Abortion

It is worth noting that medical termination of a failed pregnancy in the early stages has several advantages:

1. Anesthesia and anesthesia are not required.
2. Women undergo abortion with the help of medications from a psychological point of view, since the process of evacuation of the fetus is more reminiscent of menstruation than abortion.
3. There is no contact with uterine tissues, which significantly reduces the likelihood of an inflammatory reaction.
4. The effectiveness of the procedure reaches 99%.

Medicines

It is important to find out in advance how drug termination of a frozen pregnancy occurs. A pharmacological agent for home use is not issued. You can take it exclusively under the supervision of a specialist in the gynecological department. Most often, two medicines are used:

1. Mifepristone (200 mg). Increases the contractility of the myometrium, resulting in the removal of the fetal egg.
2. Misoprostol (400 mg). It helps to expand the cervix and increase its tone, as a result of which the remains of the ovum along with the blood are removed from the organ.

Can also be used:

1. Pencrofton. This drug has a synthetic origin, it is prescribed only to nulliparous women.
2. Mifeprex is a domestic medicine used in the early stages.
3. Mifolian is an imported medicine of Chinese manufacture.
4. Mifegin is a steroid drug that provokes an early miscarriage.

The main active component in the composition of almost all drugs for medical termination of a frozen pregnancy is mifepristone. It contributes to the rejection of the embryo from the uterine walls. In some cases, if the interruption was negative, an additional procedure is used to clean the uterine cavity, which involves curettage or removal of the embryo by vacuum aspiration.

In many cases, medical abortion causes a violation of the menstrual cycle, the onset of menstruation is delayed, the period of ovulation is delayed, bleeding is not ruled out. Therefore, experts recommend abstaining from sexual intercourse for several weeks. In addition, planning the next pregnancy is allowed no earlier than 3 months after the abortion of a frozen pregnancy in a medical manner.

Patients who have severely experienced fetal loss may develop depressive states and neuroses. To prevent such conditions, it is recommended to consult a psychologist.

Contraindications to medical abortion

Do all with a frozen pregnancy do medical interruption? Despite the fact that it is considered to be a gentle method, this procedure has certain contraindications that are associated with an ectopic pregnancy, impaired blood coagulation, pathologies of the reproductive organs, and diseases of the digestive tract.

If the body alone did not get rid of an abnormal pregnancy in the early period (an arbitrary miscarriage did not happen), then the gynecologist decides on the need for a medical interruption.

Miscarriage with a stopped pregnancy

Statistics show that almost every woman who leads a regular sex life, at least once had an arbitrary miscarriage. Fertilization of an abnormally developed egg cell occurs. The body responds to this feature immediately, provoking uterine contractions, as during menstruation. In conjunction with blood, an inferior zygote is evacuated. At the same time, the woman herself can assume that there was simply a delay of 7-10 days.

The frequency of occurrence of an arbitrary miscarriage

The freezing of an egg or embryo at certain stages can be due to many factors:

1. Infectious lesions, viruses leading to mutations or halt the development of the ovum.
2. Thick blood. In this case, the formation of a blood clot occurs, as a result of which the fetus dies from exhaustion.
3. Rejection (autoimmune reaction of the mother's body).
4. Abnormal formation of the placenta due to malnutrition.
5. Genetic mutations.

The female body is genetically programmed to produce healthy and full-fledged offspring, in connection with which all conditionally defective embryos are brought out - there is a fading of development or an arbitrary miscarriage. According to statistics, such situations happen in 10-12% of pregnancy cases.

The consequences of medical termination of a missed pregnancy

In some cases, negative consequences are likely that develop after the procedure of drug interruption:

1. Allergic reactions.
2. Temperature rise.
3. Pressure drops.
4. Headache.
5. Vomiting
6. Bouts of nausea.
7. Soreness in the lower abdomen.
8. Uterine bleeding.

In this case, the gynecologist prescribes to the patient medications that promote rapid recovery.

Full rehabilitation, during which a woman fully recovers from hormonal shock and stress, can last a different time. Its duration depends on the individual characteristics of the woman's body.

Reviews about medical termination of a frozen pregnancy

Reviews on this procedure are available in large numbers. Most often, women tolerate it well. However, this is a lot of stress for the body, so after such an interruption, it takes time to recover. Patients report that, very often, nausea, vomiting, and abdominal pain occur while taking medication.

We examined how the medical termination of a frozen pregnancy goes.