Taking a pill vs maintaining pregnancy? How is a medical abortion performed? Velvet abortion - what is it? Is it possible to have a medical termination of pregnancy a second time?

The most gentle way to perform an abortion is drug interruption pregnancy. It is practically safe for health and emotional state women. To carry it out, drugs are used that provoke the expulsion of the fertilized egg.

What is medical abortion?

The term “pharmabort” usually means the artificial termination of an ongoing pregnancy using medications. The method completely eliminates surgical intervention. During this procedure, the patient takes pills in the presence of a doctor. Under the influence of the components of this drug, the death of the embryo occurs. This completes the first stage of medical abortion.

After a certain time, the woman takes another drug. Its components provoke increased contractile activity of the uterine myometrium. As a result, the rejected fertilized egg is expelled and an abortion occurs. This procedure has a number of advantages relative to other methods (curettage,):

no trauma to the uterus;
fast recovery menstrual cycle;
low risk of complications;
does not require anesthesia.

Medical termination of pregnancy - timing

When answering a woman’s question about how long a medical termination of pregnancy can be carried out, doctors say 6-7 weeks. Pharmaboration can be carried out no later than 42–49 days from the moment when the first day of the last menstruation was noted. At the same time, the effectiveness of this procedure decreases over time, and the likelihood of complications increases.

Doctors say the optimal time for medical abortion is up to 4 weeks. The fertilized egg does not have time to securely attach itself to the uterine wall, so it is rejected and released better and faster. Besides, hormonal background has not yet been fully established, the restructuring of the body has not been completed, so it will be easier for it to return to its previous state, before pregnancy.

Medical termination of pregnancy - contraindications

The main indication for such an abortion is the desire of the woman herself. However, not all pregnant women and not all cases can undergo medical abortion. In addition to the time frame indicated above, there are other contraindications to the implementation of medical abortion:

history of allergic reactions to medications;
liver failure;
adrenal insufficiency;
pathological bleeding;
active inflammatory process in a woman's body;
pulmonary tuberculosis;
suspicions of;
oncological processes;
lactation process;
administering corticosteroid therapy;
disorders of the blood coagulation system.

How does medical abortion occur?

Talking about how the pharmabort is performed, the doctor explains the stages of the procedure. Beforehand, a woman needs to undergo a short examination, which is prescribed on the day of treatment:

Ultrasound of the uterus;
microflora smear;
blood test for syphilis.

After receiving the results, an appointment is made exact time when a medical abortion is performed, the timing of which is indicated above. During the second visit, the doctor talks with the woman again, clarifies the seriousness of her intentions, and whether she has changed her mind. The patient is then given the drug, which she drinks in the presence of a doctor. Under the influence of the drug, endometrial growth stops, and the muscle layer begins to contract. The woman is observed for 2–3 hours, after which she leaves the clinic.

The patient is given a tablet of another drug that stimulates uterine contractions. It is taken after 36–48 hours, as directed by the doctor. Under the influence of the drug, the dead embryo is expelled out. Only after this is the medical abortion considered complete. Woman fixing bloody issues.

Medical termination of pregnancy - drugs

A woman, even if she wants, cannot carry out a pharmaceutical abortion on her own - pills for its implementation are not sold in the pharmacy chain. When performing a medical abortion, drugs are used with a high content of hormones, so they are issued by a doctor in a medical facility. To carry out medical abortion, the following groups of drugs are used:

Antigestagens– suppress the effect of natural gestagens at the receptor level. A representative of this group is Mifepristone, Mifegin. For pharmaboration, 600 mg of the drug is used.
Prostaglandins– enhance the contractility of the uterine myometrium. Most often from this group they use Mirolut. 400 mg of the drug is prescribed. Taken 36–48 hours after the antigestagen.

How do you know that the pharma abortion was successful?

Complications are possible with any medical procedure, so women often ask doctors how to understand that a medical abortion has failed. For the purpose of exclusion possible violations after 14 days, the woman must visit the clinic and undergo a control ultrasound. The doctor must make sure that the fertilized egg and its remains have completely left the uterine cavity. They examine the organ itself, determining its size. In a woman, the doctor clarifies the nature of the discharge, presence and severity pain syndrome. Often, after a pharma abortion, the test is positive - this is due to altered hormonal levels.

Menstruation after pharmaabortion

Normally, menstruation comes after pharmaabortion within 28–30 days. Taking abortifacients has virtually no effect on a woman’s hormonal background, so menstruation is not disrupted. However, in some cases there is a change in the volume of discharge: it can be scanty or excessively abundant. Thus, a small amount of discharge after medical termination of pregnancy may be due to:

Small dilatation of the cervix during an abortion means that fragments of the fetus cannot come out normally, accumulating in the uterine cavity.
Incomplete abortion - the fertilized egg is not completely rejected, and the fetus continues to develop.

Bleeding is observed within 2-3 days after pharmaabortion. Normally, it lasts up to 10–14 days. The fertilized egg is separated in parts, so the discharge lasts a long time. Their volume exceeds the number of menstrual ones. You need to be careful about the volume, making sure that they do not go into . Signs of such a complication are:

a large amount of blood released from the vagina - in half an hour sanitary napkin(“maxi”) is completely soaked;
pain in the lower abdomen;
dizziness;
pale skin;
increase in the number of heart contractions;
decrease in blood pressure.

Sex after pharmaboration

After the pharmaabortion has been carried out, the doctor explains to the woman what not to do and what rules to follow. At the same time, special attention is paid to intimate life. Doctors do not recommend that women have sexual intercourse until the bleeding stops. Otherwise there is high risk infection reproductive system. On average, the period of abstinence should be 2-3 weeks from the moment of abortion.

Pregnancy after pharmaceutical abortion

A properly performed pharmaceutical abortion does not affect reproductive function. after such an abortion, pregnancy is possible already a month later, in the next menstrual cycle. Considering this fact, doctors strongly recommend protection. Often women regret what they did and want to get pregnant again. In addition, there are cases where the interruption was carried out by medical indications, so a woman wants to get pregnant again quickly.

The reproductive system needs time to recover, so you need to refrain from planning a pregnancy for 6 months from the moment the medical termination of pregnancy was carried out. During this period, doctors recommend using. In this case, it is better to give preference to mechanical ones (condom), since the use hormonal drugs may affect hormonal levels.

Medical abortion, otherwise pharmaceutical or “velvet” abortion, is a method of terminating pregnancy in its early stages using special drugs that does not require surgical intervention.

Advantages of medical abortion:

Does not require surgical intervention;
Produced in the early stages of pregnancy, when significant hormonal changes have not yet occurred;
It is the least traumatic, since the cervix and mucous membrane of the uterus are not subjected to mechanical stress, due to which they remain intact;
Doesn't have any severe consequences, like others, significantly reduces the risk of future infertility.
There is no need for anesthesia, so this type abortion is suitable for women for whom anesthesia is contraindicated;
Menstrual function is restored within 28-30 days.

Description of the method

Pharmaceutical abortion is a single dose of a drug with the active ingredient mifepristone. Mifepristone blocks the action of the hormone progesterone, which stimulates the growth of the endometrium, resulting in the detachment of the embryo from the walls of the uterus. At the second stage, a drug is taken - a prostaglandin analogue ( active substance- misoprostol), under the influence of which the muscles of the uterus begin to contract and the fertilized egg is pushed out of its cavity. Thus, a medical abortion is an induced miscarriage. According to statistics, its effectiveness is 95-98%.

Preparations:

Antigestagenic drugs(containing mifepristone 200 mg):

Mifegin (France);
Mifepristone (Russia);
Pencrofton (Russia);
Mifolian (China).

Prostaglandin preparations(containing misoprostol):

Misoprostol (Russia);
Mirolyut (Russia);
Cytotech (UK).

These drugs are not sold in pharmacies without a prescription. The quality of the drugs used often depends on the country of origin (French tablets are considered the best). Medical abortion can only be performed under the supervision of a highly qualified doctor in medical institution. Before the procedure, it is recommended to find out what drug will be used and check the clinic’s license to permit this type of activity. Carrying out a medical abortion at home is unacceptable.

From the very beginning of its development, humanity has tried to control birth rates and looked for ways to prevent unwanted pregnancy. you will find information about modern contraceptives.
Methods emergency contraception It is recommended to use only when it is necessary to prevent an unwanted pregnancy after unprotected intercourse or failure of other means of contraception. These methods of contraception are described.
Today, intrauterine contraception is very popular among women. Statistics show that more than seventy percent of women successfully use contraceptives.

Medical abortion can only be performed on early- up to 42 days from the first day of the last menstruation (or up to 49 days after the end of the last menstruation). Abortion is most effective up to four weeks, while the fertilized egg is still weakly attached to the wall of the uterus and hormonal changes in the body are insignificant. In the future, the effectiveness of the procedure is greatly reduced and the risk of possible complications increases sharply.

Stages of medical abortion

Preliminary inspection

A gynecologist diagnoses pregnancy and sets its exact date. It is necessary to exclude ectopic pregnancy (in case of which medical abortion is unacceptable) and the presence of contraindications.

First stage

The patient takes mifepristone 600 mg (3 tablets) in the presence of a doctor and remains under his supervision for 2 hours. She then receives recommendations and medications for the second stage of abortion. At the first stage, cramps in the lower abdomen may occur and spotting may appear, which is normal. It is better to do a medical abortion no earlier than 2 hours after last appointment food.

Second phase

36-48 hours after taking mifepristone, the patient should independently take the prostaglandin preparation given by the doctor. It is advisable to stay at home throughout the day. The degree of pain and the amount of bleeding depend on individual characteristics. It is important to follow all doctor's recommendations and take only approved pain medications as needed.

Control examinations

3 days after taking mifepristone, the patient should undergo gynecological examination and the first control ultrasound, after 7-14 days a repeat examination and ultrasound control. If necessary, an hCG test is taken to confirm the abortion. In case of incomplete abortion, vacuum aspiration or curettage is performed.

Contraindications for medical abortion

Ectopic pregnancy;
Inflammatory gynecological diseases;
Uterine fibroids;
Inflammatory diseases of the gastrointestinal tract;
Acute or chronic renal or liver failure;
Pregnancy resulting from the use of;
Anemia and bleeding disorders;
Individual intolerance to mifepristone;
Taking corticosteroid drugs and anticoagulants.

Restrictions:

Smoking over 35 years of age;
Postoperative scars on the uterus;
Hypertension;
Lactation (must stop breast-feeding for 14 days).

Possible complications after an abortion

Even if all instructions are followed, it cannot be ruled out unfavorable outcome medical abortion.

Continuation of pregnancy or incomplete abortion;
Uterine bleeding requiring medical intervention;
Abdominal pain;
Nausea, vomiting;
Weakness, dizziness;
High blood pressure, migraine;
Increased body temperature;
Allergic reactions (rare).

You should abstain from sex for two to three weeks so as not to provoke bleeding and the development of inflammatory processes. One of the consequences of an abortion may be a change in ovulation, and, as a result, a woman runs the risk of becoming pregnant 11-12 days after the procedure. Therefore, immediately after an abortion you need to start using contraception. At successful outcome You can plan a pregnancy after 3 months.

There are no significant delays after this procedure. In most cases, the first menstruation after an abortion begins after the number of days that constitutes the normal cycle for a given woman, if the first day of the previous menstruation is considered to be the day of the abortion or the time of the onset of bleeding that occurs within 24 hours after taking the drug. The rapid recovery of the cycle is explained by the lack of mechanical damage uterus and hormonal imbalances.

For several months after an abortion, deviations in the direction of increasing the duration of the menstrual cycle are allowed; the delay can be up to 10 days.

Natalia:

I am 31 years old, I have two children, I had a medical termination of pregnancy for medical reasons at 6 weeks. I want to say the main thing: everyone different organism and different tolerance. Everything went fine for me, I'm happy with the result. The doctor warned against taking aspirin and thermal procedures(sauna, hot bath etc.), as this can cause severe bleeding. I strongly advise everyone to stay at home while taking the pills, preferably under the supervision of relatives, as severe dizziness almost to the point of loss of consciousness.

Arina:

I am 24 years old. I'll get straight to the point. Ultrasound showed a period of 3-4 weeks. After taking the first three tablets I felt slightly nauseous and general weakness. After the remaining pills, it was pouring out of me so much that due to the enormous loss of blood, I was moving along the wall from the sofa to the toilet. At the same time, clots the size of a small chicken (!!!) egg came out. This lasted from 5 to 9 pm. The vegetable’s condition lasted for about five days; I constantly wanted to lie down and felt dizzy. The discharge continued for about 2 weeks. After this nightmare, I want to say - between vacuum aspiration and medical abortion, choose a vacuum, I did that too. So, in this case, you came to the clinic, suffered for 3 minutes and went home, you don’t have to walk around like a vegetable for a week, not knowing whether everything went well or whether they’ll send you for cleaning.

Anna:

I had a pharmaceutical abortion twice for up to 6 weeks, with Russian drugs in private clinic. Everything was fine, no heavy bleeding, nor severe pain. The doctor said that such an abortion cannot always be performed on nulliparous women. I wish everyone to take better precautions, it’s still a little difficult mentally.

Medical abortion is the most safe method termination of pregnancy. Its essence lies in the use of special medicines, causing miscarriage. Due to the absence of surgical intervention, a gentle effect on the body is ensured.

Price for medical abortion

Dates

Medical abortion is only permitted up to 6 weeks of pregnancy. Use of abortion drugs for more than later may entail serious consequences for women's health. The danger of medical abortion for periods of more than 6 weeks is due to the fact that with each week the fertilized egg grows and becomes more firmly established in the uterine cavity, and in addition, begins to form blood vessels. Use of drugs later than 6 weeks may lead to incomplete removal of the fertilized egg, heavy bleeding or the development of an inflammatory process.

Benefits of medical abortion

Medical abortion is the most acceptable method of ending a pregnancy due to a number of advantages:

High efficiency (up to 98-99%);
There is no risk of injury to the uterus, as with surgical abortion;
Minimal impact on health;
Simplicity and ease of implementation;
There is no need for anesthesia.

Stages of implementation

Abortion by medication is carried out in two stages. After the woman has passed all the tests and will pass the necessary examination, the doctor sets a date for the procedure to be performed. On the appointed day, the woman takes the first tablet under the supervision of a doctor, after which she remains in the medical facility for another 1-2 hours.

This precaution is necessary in case of allergic reaction or other complications. After taking the first drug, the fertilized egg detaches from the wall of the uterus, which causes its development to stop.

After 36-48 hours, the second stage of medical abortion begins, during which the woman drinks two more pills. They must also be taken under the supervision of a doctor. After taking the pills, the woman also remains under the supervision of a doctor for 1-2 hours. After some time, the woman begins to bleed, similar to menstruation.

This occurs due to the action of the drug, which causes contractions of the uterus. Thanks to this, the fertilized egg comes out of the uterine cavity. Bleeding lasts an average of 7-10 days, with spotting gradually decreasing.

After 10-14 days, the doctor schedules another appointment for a control ultrasound. During the examination, the gynecologist evaluates the condition of the uterus, as well as the effectiveness of the interruption. If during an ultrasound examination remains of the fertilized egg are detected, the woman is referred for surgical curettage.

Recovery period

Every woman’s body is different, so everyone’s recovery period is different. The time it takes for the body to return to normal largely depends on the woman’s age. general condition health, hormonal levels.

Compliance with medical recommendations and timely attendance at a follow-up ultrasound play an important role in the recovery of the body. To make the recovery process faster, and also to reduce the risk of complications after a medical abortion, a woman should follow several rules for 2-3 weeks:

Avoid physical activity, sports training;
Carefully observe intimate hygiene;
Do not use tampons;
Avoid sexual activity;
Avoid douching;
Exclude alcoholic drinks, fatty and fried foods, unhealthy foods;
Take vitamins or other medications prescribed by your doctor.

Very often prescribed to women contraceptives, which begin on the day of the abortion. This helps speed up the body's recovery and avoid re-pregnancy. Complete restoration of the body occurs when a woman’s menstrual cycle and hormonal levels return to normal.

How often can you have a medical abortion?

Repeated application is possible six months after the previous one. Such deadlines are set based on the average time it takes the body to recover after an abortion. If a medical abortion is performed again before full recovery after the previous one, there is a huge risk to a woman’s health.

In such cases there may be various complications, such as:

Long-term menstrual irregularities;
Hormonal disbalance;
Endometriosis;
Height benign formations(for example, fibroids);
Appearance oncological diseases(eg breast cancer).

Since each woman’s body recovers according to an individual schedule, this must be taken into account when performing a repeat abortion. To make sure that the recovery was successful, you should take blood tests for hormones (FSH, LH, estradiol, prolactin, progesterone), and also closely monitor the menstrual cycle. And in order to avoid a repeat abortion procedure, it is necessary to select effective method protection.

Contraindications
Medical abortion has a number of contraindications, in which its use is dangerous for the health and life of the woman:
Ectopic pregnancy (use of abortion drugs during ectopic pregnancy may lead to rupture of the fallopian tubes);
Pregnancy period is more than 6 weeks;
Acute inflammatory processes;
Large fibroids;
Lactation period;
If less than 6 months have passed since the previous abortion;
Individual intolerance to the components of the drug used to terminate pregnancy;

Apply this method to early stages pregnancy, up to 49 days delay from the first day of the last menstruation.

The following drugs are currently used:

Mifegin (made in France);
Mifepristone (made in Russia);
Pencrofton (made in Russia);
Mifolian (made in China).

The mechanism of action of all drugs is the same. The receptors for the hormone progesterone, which is designed to support the pregnancy process in the body, are blocked, and as a result, the embryonic membranes are detached from the uterine wall and the fertilized egg is expelled.

All these drugs cannot be bought in pharmacies without an appropriate prescription!

Stages of implementation

Before undergoing the procedure, make sure that the doctor has all Required documents and permissions.

Many women wonder how painful is the procedure.

Usually the pain is a little worse than during normal menstruation. You will feel a cramping pulsation of the uterus. In consultation with your doctor, you can take a pain reliever.

After a medical abortion it is necessary abstain from sex for 2-3 weeks: it may well cause bleeding and inflammation. In addition, one of the complications may be a change in ovulation, and a woman may well become pregnant 11-12 days after the procedure;

Menstruation usually starts within 1-2 months, but disruptions to the menstrual cycle are possible.

Pregnancy can be planned after 3 months, if everything went well. Before planning, you must see a doctor.

Contraindications and possible consequences

The tablets are potent medicines, having a whole range contraindications:

age over 35 and under 18 years;
hormonal hormones were taken within three months before conception contraception (oral contraceptives) or an intrauterine device was used;
suspected ectopic pregnancy;
pregnancy was preceded by an irregular menstrual cycle;
diseases of the female genital area, ( fibrous tumors, endometriosis);
hemorrhagic pathologies (anemia, hemophilia);
allergies, epilepsy or adrenal insufficiency
long-term use of cortisone or similar drugs;
recent use of steroids or anti-inflammatory drugs;
renal or liver failure;
inflammatory diseases gastrointestinal tract(colitis, gastritis);
bronchial asthma and other pulmonary diseases;
pathologies of the heart and blood vessels, as well as the presence of cardiovascular risks ( high pressure, obesity, smoking, diabetes);
allergic reaction or hypersensitivity to mifepristone.

Quite often, after a medical abortion, hormonal imbalances begin, causing various gynecological diseases (inflammation, endometriosis, cervical erosion, fibroids). All this can subsequently lead to infertility.

Is the safety of velvet abortion a myth or reality?

As we see, at first glance, this is a fairly simple operation, and most importantly, as they say, it is largely safe compared to surgical intervention. However, in reality, not everything is as simple as it seems.

Is this “security” safe?

If the procedure is not carried out on time(after 7 weeks of pregnancy), then even death is quite possible. Although there are dozens of proven cases of death from mifepristone in the European Union alone, in reality, experts agree, there are many more of them, and there are thousands of those who suffered irreparable damage to health. Dr. Randy O'Bannon, director of research for the National Pro-Life Committee (USA), said it is very difficult to obtain information about the death of a patient as a result of taking the drug. This information flows to the manufacturer and immediately becomes inaccessible to people.

We must not forget that abortion, whether pharmacological or surgical, is the murder of the unborn child.

If you find yourself in a difficult life situation and want to have an abortion, call 8-800-200-05-07 (helpline, free call from any region).

Reviews:

Svetlana:

Contacted antenatal clinic on on a paid basis. First, I had an ultrasound, determined the gestational age, then took a smear for infections, made sure there were no infections, and gave the go-ahead. My deadline was 3-4 weeks. I took three tablets of mefepristone. They can be chewed, not bitter. At first I felt a little nauseous, but the nausea went away after I drank kefir. Before they sent me home, they explained everything to me, and also gave me instructions and 4 Mirolut tablets. They told me to take two in 48 hours, if it didn’t work another two in two hours. I took two tablets on Wednesday at 12:00 o'clock, because... nothing happened - I drank another one. After this, blood began to flow, profusely with clots. My stomach hurt, as if I had menstruation. For two days the blood flowed profusely, and then it just smeared. On the seventh day, the doctor said to start taking Regulon to restore the menstrual cycle. On the day of taking the first pill I stopped. On the tenth day I did an ultrasound. Everything is okay.

Varya:

I was forbidden to give birth for some reason, so I had a medical abortion. Everything went without complications for me, but with such pain that mom, don’t worry!!! I took 3 tablets of no-shpa at a time to make it at least a little easier... psychologically it was very difficult. Now I’ve calmed down, and the doctor said that everything went well.

Elena:

The doctor advised me to have a medical termination of pregnancy, underwent an examination, took mifepristone tablets, and then sat for 2 hours under the supervision of a doctor. She came 2 days later, they gave me two more tablets under the tongue. An hour later there was blood and discharge, my stomach hurt terribly, so I climbed onto the wall. Clots came out. And so my period lasted 19 days. I went to the doctor, they did an ultrasound, and they found the remains of the fertilized egg. As a result, they also gave me a vacuum!!!

Daria:

Good afternoon everyone! I am 27 years old, I have a son, he is 6 years old. At the age of 22, I gave birth to my son, when he was 2 years old, I became pregnant again, but they didn’t want to continue the pregnancy, because the little one was very restless and I was simply tortured. I made honey. Abortion! Everything went without problems! After 2 years I became pregnant again and did it again. Everything went fine again. Well, time passed and I stopped again with pills. And the nightmare begins! I took the pills that the doctor prescribed, at home, it was very bad, let’s go copious discharge! Gaskets didn't help! In general, horror. Long story short, the girls sent me to a vacuum... Two previous medical appointments. abortion. They weren’t painful, everything turned out without any problems! But 3 of course terrified me! To be honest, I regret it…..Now I’m taking antibiotics…

Natalia:

Apparently everyone has their own way. My girlfriend did it. She said it was as if her period had started, no pain, no complications, just nausea...

If you need advice or support, then go to the page (https://www..html) and find out the helpline or address of the Maternity Support Center closest to you.

The site administration is against abortion and does not promote it. This article is provided for information only.

Comments

Life circumstances often don’t turn out the way we want and dictate their own conditions. Sometimes pregnancy is unwanted or contraindicated for health reasons. In such a situation, there is only one way out - abortion.

In the early stages of pregnancy, doctors often use medical abortion, which is considered the safest for a woman’s health. In the article we will talk about how true this information is, and what consequences the use of abortion pills may have.

Now let's look at this in more detail.

Drugs used for early abortion

The first drugs for medical abortion were invented in France at the beginning of the last century; today the country remains one of the main leaders in the production of drugs for abortion. Medical abortion is always carried out under the close supervision of the attending physician, independent use drugs can be dangerous to a woman’s health and lead to infertility. Please note that medical abortion is allowed at the earliest stages - up to 41 days from the start of the last menstruation. After this, other methods of abortion are used.

The main advantages of medical abortion are:

Minimal risk of infertility. The drugs, unlike curettage, do not injure the uterine mucosa, so the risk of developing infertility is significantly reduced.
No complications. Surgical methods termination of pregnancy is often fraught with the development of inflammatory processes and injuries to the cervix, and with a medical abortion the likelihood of complications is minimal.
Outpatient mode. At medicinal method Hospitalization of the patient in a hospital is not required. Reception hormonal drugs leads to the fact that the embryo dies, the uterus contracts and the fetus is expelled. The body recovers quickly after such a procedure, and the very next day the woman can return to her normal lifestyle.

Medicines used for medical termination of pregnancy are not available for free sale; they can only be purchased as prescribed by a doctor. The drugs are based on antigestagens, also called antiprogestins - this is a group of biological active substances, which suppress the action of natural gestagens at the receptor level. necessary for and ensure its vital functions, suppressing it with special tablets, the woman stimulates the rejection and death of the embryo.

The most popular antiprogestin on this moment Mifegin or mifepristone is considered, which is used in a dosage of 600 mg once (3 tablets), the drug is effective for three days. 36-48 hours after taking antiprogestins, prostaglandins are prescribed, for example, at a dosage of 400 mg. (2 tablets). While taking medications, a woman should be under the supervision of a doctor.

The list of drugs for medical abortion looks like this:

Mifepristone
Mifeprex
Mytholian
Pencrofton
Mifegin
Misoprostol

The active ingredient in all tablets is mifepristone; they differ from each other by manufacturer, and, accordingly, by quality and effectiveness.

Spontaneous miscarriage occurs within a week after taking the pills. The doctor monitors the completeness of the miscarriage using ultrasound. The cost of abortion drugs depends on the manufacturer, for example, the Russian drug Mifepristone is cheaper than the French Mifegin or the Chinese Mifepristone 72. On average, the price of these drugs ranges from 1,000 to 5,000 rubles. Every woman who decides to have a medical abortion must understand that unauthorized use of drugs can cause serious consequences. side effects, therefore self-medication in in this case ineffective.

Scheme of implementation

Medical termination of pregnancy is not as simple a process as many may think. In fact, it is carried out in several stages and requires careful preparation.

Survey. First of all, the doctor must conduct an examination, including a gynecological examination and ultrasound, to determine the exact duration of pregnancy. Before carrying out the procedure, the doctor must make sure that the woman has no contraindications to the use of pills. The patient is introduced to the principle of operation of medications and the technique of performing an abortion; she must clearly understand the features and side effects of the procedure. After this, a written agreement to carry out the manipulation is signed.
Main stage. First, the woman, under the supervision of a doctor, takes pills that cause the embryo to be rejected and prepare the uterus to expel it. For several hours after the procedure, the woman is on day hospital and if there are no side effects, the patient is sent home.
Completion. After 1.5-2 days it is accepted next drug, which starts the process of expulsion of the fertilized egg. The woman is under medical supervision for two hours after taking the pills.

Definition of effectiveness

36-48 hours after the procedure, the doctor performs a control ultrasound to ensure that there is no stagnation of blood in the uterus. After two weeks, it is necessary to undergo a re-examination by a gynecologist and do an ultrasound again to ensure the success of the procedure and to exclude incomplete expulsion of the fertilized egg from the uterus. In this case, the woman is prescribed manual curettage.

Possibility of ineffectiveness of the procedure

Each country sets its own time frame for allowing medical abortion, but you should understand that the higher the period at which an abortion is performed, the higher the likelihood that you will have to have a second cleanse. In the USA, medical abortion is allowed up to 7 weeks; in Britain there are no such clear restrictions; different rules, in some cases you can do it up to 8 weeks, sometimes up to 9-13 and even up to 24 weeks.

In Russia, it is believed that medical abortion is optimally done before the 6th week, sometimes up to the 9th week is allowed, but most doctors do not want to take on such responsibility. According to them, late medical abortion can cause serious side effects, such as bleeding or inflammation in the uterus caused by the remains of the placenta. Therefore, at later stages it is carried out additional cleaning V mandatory. It turns out that what formerly a woman If you consult a gynecologist, the higher the effectiveness of medical abortion, and the longer the period, the lower the effectiveness of the procedure and the greater the likelihood of complications.

With the first abortion, the risk of incomplete termination of pregnancy is higher. You can see this on a control ultrasound. As the gestational age increases, the possibility of maintaining the pregnancy increases; this can be monitored at a follow-up examination 1.5 - 2 weeks after the abortion. In general, studies show that partial removal of the fertilized egg occurs in 3%-5% of cases, and continued pregnancy occurs in no more than 1% of cases. total number medical abortions.

Contraindications and side effects

As with any medical manipulation, complications may arise with a medical abortion. They are quite rare, but every woman should know consequences of the procedure:

Continuation of pregnancy. In 1%-2% of cases, termination of pregnancy may not occur.
Strong.
Abundant uterine bleeding . It may develop due to incomplete removal of the fertilized egg.
Fever, chills, weakness.
Nausea,. In such cases, the doctor may decide to re-use the medicine.
Exacerbation chronic diseases genitourinary system.
Hormonal disbalance.
Inflammation of the uterus and appendages. Sometimes occurs due to the spread of infection from genitourinary tract. At the same time, the temperature rises, the stomach hurts severely, and discharge appears.
Problems with uterine restoration, for example, hematometra (blood in the uterus) or subinvolution in the uterus (slowing the recovery of the organ). Problems with the cycle and abdominal pain appear.
Prolonged bleeding, which can last up to 2 weeks, is associated with hormonal imbalance. Approximately 3%-5% of women experience a cycle disorder after a pill abortion; with a regular abortion, the percentage rises to 12%-15%. The cause of this phenomenon is considered to be neuroendocrine disorders due to impaired ability of the endometrium to recover. In women who have given birth, the cycle is restored within 4 months, in nulliparous women - six months.

There are certain contraindications for medical abortion, so the woman must first be examined by a gynecologist. Doctors note situations when a woman takes pills on her own, after which life-threatening complications arise. For example, it passes in the same way as a normal one, but in this case, medical abortion is contraindicated. Taking pills can cause rupture fallopian tube and death or, at best, infertility. Below Let's highlight the main contraindications to medical abortion you should know about:

or suspicions about her.
Renal and adrenal failure.
Diseases associated with blood clotting disorders.
Inflammatory processes of the genitourinary system.
Uterine fibroids.
Long-term use of corticosteroids.

Failure to comply with contraindications often leads to unpredictable consequences and can be fatal, so before starting the procedure, go through full examination see a qualified gynecologist and learn more about medical abortion.

Negative consequences

At such an early stage, the woman makes the decision to terminate the pregnancy independently. As experience shows, most often the grounds for abortion are:

Before making a decision, think carefully about the consequences and about the life of the unborn baby. Pregnancy triggers certain mechanisms in a woman’s body and completely changes hormonal levels. Artificial termination of pregnancy does not go unnoticed; it is a serious stress for the body, so the reverse restructuring of all processes may slow down or occur with complications that will have to be treated.

Most women experience irregular cycles after an abortion, and their periods are irregular and painful. This is usually the first sign that more serious problems. Another common complication is uterine bleeding. If it is not stopped in time, it can be fatal. Often women experience malfunctions, the load on the adrenal glands increases, and this disrupts metabolism. Production decreases, quantity increases male hormone, which stimulates the development of infertility and affects appearance women.

The breast reacts almost immediately to the occurrence of pregnancy, so after an abortion it is the first to suffer - tumors and neoplasms may appear. nulliparous women After an abortion, there is a double risk of developing infertility. Studies have shown that three out of ten women who have an abortion are subsequently unable to have children.

The medical consequences of the procedure may be irreversible, so later, when the desire to have children appears, not everyone will be able to get pregnant - there is always a risk of developing secondary infertility. Any medical intervention, even the most harmless at first glance, can have side effects, even death. Therefore, do not joke with your health - it is preferable to carry out competent prevention of unwanted pregnancy, so that later you do not have to solve the issue with drastic methods.