Medical abortion: description of the procedure, consequences, recovery
Medical abortion is the termination of pregnancy with the help of medicines, without gynecological intervention. It is carried out at the request of a woman, paid, according to the adopted scheme and only in clinics licensed to perform this procedure. Now there are a lot of such people in Russia.
When is the procedure possible
Up to what term medical abortion is done, described in official medical documents - this is 6 weeks, in Russia. And the term is considered from the first day of the last menstruation.
It is from the day of conception (more often ovulation) should take no more than 4 weeks. This is 2 weeks delay in menstruation. But the sooner the procedure is carried out, the greater the chance of success.
How early to learn that pregnancy has occurred? You can take a blood test for HCG 1-5 days before the onset of menstruation. Or to make a home test, only necessarily with high sensitivity. There are test strips showing the correct result even 5 days before the onset of menstruation. And their cost is small, about 50 rubles.
However, be prepared for the fact that before a delay in menstruation, even if the level of hCG confirms the presence of pregnancy, no one will do you an abortion. Neither drug, nor surgical. It is necessary that ultrasound is confirmed by the presence of a fetal egg in the uterus. And before the start of the delay there it is still not visible.
How is the interruption of pregnancy pills and its cons
A woman needs to find a clinic where they perform this procedure and make an appointment with a gynecologist. After confirming the uterine pregnancy and the appropriate time for the procedure, he will tell you how to undergo medical abortions in the early stages and give out the information consent that the patient must sign.
Next, she will be given a drug, which she must take in the presence of a doctor. It is advisable after that to stay in the clinic for a couple of hours, but in practice, women are usually quickly released home, since the medicine is well tolerated, rarely gives side effects. These tablets for medical abortion are called "Mifepristone". After their admission, a small number of women immediately start a miscarriage. Most do not change their state of health. But there may be smearing, bloody discharge from the vagina.
After 36-48 hours a woman should take another drug - "Misoprostol". Again, this should happen according to standards in the clinic, under the supervision of a doctor. And after taking this medication, after 20-30 minutes, strong cramping pains begin, bleeding. At this time, the woman should be in the clinic. If she has vomiting, this is one of the side effects of "Misoprostol" - you may need an additional drug. Usually within the next 2-3 hours, a fetal egg also leaves. True, it can not be noticed, since there will be a lot of clots. As soon as the pain subsides, the woman is released home.
After 7-10 days, ultrasound should be done to make sure that complications in the interruption of pregnancy in the early stages, and they are primarily in incomplete miscarriage, are absent. If the particles of the fetal egg are left, or it continued to develop, vacuum aspiration is suggested. Even if the woman has already decided to leave the child. The fact is that due to the intake of "Misoprostol", the strongest spasms that it causes, the child develops numerous developmental defects, such as skull defects, feet (horse feet), etc. And this is not all possible consequences of medical abortion. A frequent complication is severe and prolonged bleeding. By the way, this complication after vacuum aspiration is much less common. A woman is forced to take haemostatic drugs. This all limits her ability to work.
There is a medical abortion and contraindications:
- ectopic pregnancy;
- allergic reaction;
- long-term administration of glucocorticoids;
- adrenal, hepatic and renal insufficiency and some others. For example, a doctor may refuse this service if the woman has a large myomatous intramuscular junction, since active uterine contractions that occur after taking "Misoprostol" can lead to tumor necrosis.
Cycle restoration, sex life, contraception and a new pregnancy
Allocations after medical abortion last about 10-14 days, more than with usual menstruation, or even after surgical termination of pregnancy. At the same time, it is possible to determine whether the uterus has completely cleared from the fetal membranes only by ultrasound. If so, the menstrual cycle will recover quickly. So, the months after the medical abortion in the early stages usually begin within 28-35 days. In this case, ovulation can be already in the middle of this cycle, so it is very important to start using reliable contraception right away. Many are interested in when you can have sex after a medical abortion, after how many days. Doctors recommend only after complete cessation of discharge, that is, after 10-14 days. But we will focus on the issue of contraception.
Modern doctors recommend for women living with one constant sexual partner, intrauterine system (spiral) or oral contraceptives (hormone tablets). In this case, the spiral can be installed right on the days of bleeding after abortion. The main thing is that by that time there are no fetal membranes in the uterus. That is, you need to make an ultrasound, and if everything is good - you can talk with your doctor about which intrauterine system you better fit, buy and install it. Intrauterine systems are installed in the last days of menstruation, when the cervical canal is ajar to make the procedure easier and painless.
Oral contraceptives can be started in the first 5 days after miscarriage. Strictly according to the instructions. Then the contraceptive effect will be good and will come quickly (how quickly - depends on the day of the cycle, which started taking the drug). In addition, hormonal contraceptives will help restore the hormonal background. Doctors often prescribe them after an abortion to take at least three months, and you can and before the beginning of pregnancy planning, if to tablets there are no contraindications.
Is it possible to interrupt the pregnancy in this way independently, without going to the doctor?
Many women and this version of abortion is not entirely satisfied. Expensive ... And again, you need to go to the doctors. Therefore, they are trying to buy drugs themselves, which, in their opinion, should "help". Since there are no drugs necessary for medical abortion, they buy what is available. And this is Oxytocin. It is sometimes used for incomplete abortion or for strengthening labor. But at an early stage of pregnancy, this drug alone does not help. It will only lead to very painful contractions of the uterus, possibly, bleeding. But it is very unlikely that a miscarriage will occur, much less complete. And the remains of membranes in the uterus - this is a direct threat of infection of the blood.
For this reason, in order to avoid serious complications, one should not call for miscarriage on any terms.