It often happens in a woman’s life that it is necessary to get rid of a pregnancy. The reason for this may be either her personal thoughts or possibilities, or medical indications. More recently, abortion was performed only surgically, which resulted in many complications and consequences. Now, the safest and most popular form of abortion is tablet abortion.
Tablet abortion (its second name is medical) occurs with the use of medications, which are based on the medication Mifepristone. It is a steroid that blocks progesterone receptors, causing the fetal egg to be rejected. The maximum time at which it is recommended to perform a tablet abortion is 6-8 weeks or 42 days from the last day of menstruation. Moreover, the shorter the gestation period, the higher the chance that her termination will pass without complications.
How to have an abortion with medication ?
If a woman decided to terminate the pregnancy with a medication, then the first thing she should do:
- pass all necessary tests (blood for HIV, hepatitis, etc.);
- in order to identify the exact gestational age and the exclusion of an ectopic pregnancy - do an ultrasound;
- pass a swab from the vagina, rectum and urethra for examination for the presence of STIs.
In the case when there are no contraindications and pregnancy allows, a tablet abortion is performed. In the presence of a doctor, a woman takes 3 tablets of the Mifepristone preparation and remains under his supervision for about 2-3 hours, in case the drug components cause a negative reaction (allergy). Then after about 36-48 hours, the patient needs to come to the hospital, where to improve the effect, she needs to take 2 more tablets of “Misoprostol”. After this, bleeding will begin, which will indicate the beginning of an abortion. Under the supervision of a doctor, she needs to stay for at least 2-3 hours.
A prerequisite after a medical abortion is to visit your doctor 2 weeks after taking the medication. It is also necessary to undergo a second ultrasound, which will confirm or deny that the tablet abortion was successful. Otherwise (with incomplete exit of the fetal egg or continued development of pregnancy) additional medical intervention will be necessary. After an unsuccessful abortion with drugs, pregnancy can not be saved.
Not every woman can make a medical abortion , since it has a number of contraindications:
- age under 18 and over 35 years old;
- taking hormonal contraceptives or using an intrauterine device before pregnancy;
- the presence of endometriosis or other diseases of the reproductive system;
- ectopic pregnancy;
- anemia;
- taking anti-inflammatory drugs;
- liver or kidney failure;
- the presence of inflammatory diseases of the gastrointestinal tract;
- bronchial asthma;
- irregular menstrual cycle before pregnancy;
- heart diseases;
- high blood pressure;
- allergy to drugs.
Although tablet abortion is the safest among other types of abortion, some complications may also occur after it. For example, very often incomplete rejection of the fetal egg occurs, as a result of which surgical intervention is required. Severe uterine bleeding can also occur, which will also have to be stopped by intrauterine intervention.