• Free abortion under new conditions. The timing of termination of pregnancy is the same, but the conditions are different. Advice from a gynecologist - how to choose a clinic Where you can make a turnover

    23.06.2020

    Termination of pregnancy - early spontaneous (miscarriage) or artificial (abortion) cessation of development intrauterine pregnancy. Artificial termination of pregnancy can be performed non-surgically or surgically.

    Termination of pregnancy includes a set of measures:

    • Exploratory survey;
    • carrying out medical manipulation;
    • follow-up;
    • psychological support.

    A woman can resort to artificial termination of pregnancy:

    • for a period not exceeding 12 weeks- for personal motivation;
    • abortion for more later(up to 22 weeks of pregnancy) according to the law, it is carried out only in the presence of social indications and the consent of the patient;
    • regardless of the deadline- in the presence of medical indications and the patient's consent.

    Contraindications to abortion:

    • the presence of acute and subacute inflammatory processes in the genital area;
    • the presence of purulent foci of any location;
    • the presence of acute infectious processes;
    • period less than six months from the previous termination of pregnancy.
    • in the late period: if for the woman’s health and life the risk of miscarriage exceeds the further development of pregnancy and childbirth.

    Before the abortion procedure, you must:

    • a gynecologist's conclusion about the presence and duration of pregnancy (based on examination and ultrasound);
    • study of clinical blood test, blood group and Rh factor;
    • conducting a blood test for syphilis, HIV infection, hepatitis B and C;
    • blood clotting test;
    • flora smear examination.

    Types of abortion:

    1. Medical abortion. It is carried out in the presence of intrauterine pregnancy up to 42 days of amenorrhea, i.e. 5-6 weeks of pregnancy. Medical abortion is carried out by taking special tablet drugs (Mifepristone, Mifegin), which increase the contractility of the uterus and cause endometrial detachment and the removal of the fertilized egg. Termination of pregnancy occurs according to the type of menstrual bleeding.
    2. Termination of pregnancy using vacuum aspiration (mini-abortion) is performed in the early stages (up to 5 weeks) stages of pregnancy. The procedure involves evacuation of the fertilized egg using a flexible cannula inserted into the uterine cavity and connected to a vacuum suction. Due to the negative pressure created ovum peels off from the wall of the uterus and is removed from the cavity. At a period of 5 to 8 weeks of pregnancy, vacuum aspiration is combined with subsequent curettage (curettage) of the uterine cavity, thereby controlling the absence of parts of the fertilized egg in the uterine cavity.
    3. Termination of pregnancy up to 12 weeks is performed using instrumental curettage of the uterine cavity. After expansion cervical canal The uterine cavity is scraped with a curette, during which the remains of the fetus and the inner layer of the uterus are evacuated.

    Artificial termination of pregnancy in modern clinics is carried out under ultrasound control.

    The reason a woman seeks an abortion can be medical, social and other factors. Very often a woman refuses to give birth next child, because he believes that there are enough children in the family. Less than 10% of unplanned pregnant women agree to have a child. In other cases, termination of pregnancy is prescribed.

    What types of abortions exist?

    There are 3 main types of abortions:

    • For up to 8 weeks it is carried out drug interruption pregnancy. The procedure is considered the safest for the female body. IN in this case medications are prescribed that promote a sharp contraction of the uterus and push the embryo out.
    • Up to 5 weeks of pregnancy, vacuum abortion is used. The procedure is performed using a vacuum aspirator, which the doctor uses to remove the contents of the uterus.
    • Up to 12 weeks of pregnancy, curettage is used. This is already a surgical intervention, during which the doctor opens the woman’s cervix and scrapes out the contents with special medical instruments.

    How is pregnancy termination performed?

    Before the procedure, the woman must undergo a comprehensive examination. It includes:

    • Blood test for hCG (determination of gestational age).
    • Examination by a gynecologist.
    • Ultrasound of the pelvic organs.
    • Gynecological smear for microflora.
    • Blood test for syphilis, HIV, hepatitis B, C.
    • Blood test to confirm blood type and Rh factor.
    • Electrocardiogram.
    • Smear for cytology.

    Before prescribing an abortion, the gynecologist determines the duration of pregnancy and the activity of embryo development. Every patient who decides to have an abortion will be assisted by experienced psychologists at the clinic.

    Features of each type of abortion

    Each type of abortion has its own characteristics. The simplest and safest method is medical termination of pregnancy. The procedure must be carried out by an experienced gynecologist. To do this, he prescribes the patient a complex of drugs such as misoprostol and mifepristone in a certain combination. The procedure takes place in several successive stages:

    • The doctor conducts a full examination of the patient.
    • Takes documented consent to perform an abortion.
    • Gives you 3 tablets to drink, each containing 200 mg of mifepristone. The drug causes the death of the embryo. The tablets should be taken on an empty stomach; after taking it, it is forbidden to eat for 2-3 hours.
    • After 4 days, the doctor gives the woman the next drug - misoprostol. These tablets should also be taken on an empty stomach.
    • After them, pain in the lower abdomen, increased body temperature, chills, nausea, vomiting, upset stomach, bloody issues.

    10-14 days after the patient’s request, a re-examination is carried out to monitor the quality of the procedure and possible complications. The most common of them is incomplete cleansing of the uterus. Different clinics may use medications from different pharmaceutical companies. In particular, this is important factor influencing the cost of abortion in medical institutions. It is very important to understand here that cheap services provided by dubious clinics can cause irreparable harm to a woman’s health.

    If a woman decides to do medical abortion, she should ask her doctor about possible consequences and obtain his permission for such a procedure.

    Vacuum abortion is performed using a vacuum suction. This is a device within which a certain pressure is created, allowing its contents to be sucked out of the uterine cavity. In some cases, the vacuum device is replaced by a medical instrument in the form of a large syringe with a movable tube.

    Curettage or surgical abortion is performed only in a hospital by qualified doctors. This type of abortion is often performed under general anesthesia. The doctor dilates the cervix using dilation devices and scrapes out the contents of the uterine cavity with a curette (sharp medical instrument). Removed along with the fetus upper layer endometrial organ.

    After the intervention, the woman needs complete rest for several days. The doctor may advise the patient to remain in the hospital for observation for several hours or days.

    Indications and contraindications for abortion

    Indications for abortion are divided into two types: medical and social. For medical reasons, pregnancy is terminated in the following cases:

    • cardiovascular failure;
    • insulin dependence, diabetes;
    • heart disease;
    • serious liver and kidney diseases;
    • bone marrow dysfunction;
    • mental illness;
    • drug addict.

    If serious pathologies are detected in the fetus, the doctor will recommend termination of pregnancy, but no one will perform an abortion without the woman’s consent.

    There are many contraindications to abortion:

    • ectopic embryo development;
    • allergic reactions to drug components;
    • acute inflammation;
    • lack of iron in the body, accompanied by anemia;
    • pregnancy is over 7 weeks.

    There are also a number of contraindications for surgical intervention:

    • benign neoplasms in the genital organs;
    • insufficient blood clotting;
    • infectious diseases;
    • uterine fibroids;
    • negative Rh factor.

    Abortions often cause a number of serious complications:

    • A puncture of the uterus or rupture of the cervix occurs due to the fault of the doctor. In this case, the doctor inadvertently causes damage internal organs with a sharp curette.
    • Insufficient curettage or incomplete abortion.
    • Progressive pregnancy most often occurs after medical abortion.

    Later, polyps may appear, which are remnants of amniotic tissue remaining in the uterus due to insufficient cleaning. They cause a number of serious diseases of the female genital organs. Subsequently, termination of pregnancy can be fraught with disorders menstrual cycle, inflammatory processes, miscarriage of subsequent pregnancies, fibroids, etc. This procedure can have Negative influence and on the ovaries, mammary glands, and uterus. Choosing a good doctor and clinic will help minimize the risk of complications.

    On this page we will not talk about the dangers of abortion and the benefits of motherhood - this is obvious and understandable to everyone. If you are here, then due to certain circumstances you are forced to choose. Whether to have an abortion or not and where - in a private clinic for a fee or antenatal clinic free - the decision is yours. But it is better to measure a hundred times than to cut once. Much is possible in life, but unfortunately, it is not always possible to change the echoes of a decision once made.

    It is known that the main way to reduce the number of unplanned conceptions is a responsible approach to reproductive planning issues and the competent use of modern methods contraception. However, if a woman is faced with a choice, we will try to provide basic information on the topic of how you can get an abortion in Moscow for a fee, with high quality and anonymously, where and how much it costs and, perhaps, this will help avoid mistakes and their consequences...

    Termination of pregnancy in the early stages - methods and timing

    Let us dwell in more detail on the main methods and timing of abortion in gynecology - surgical and tablet.

    A vacuum or mini abortion is a procedure for “pumping out” the fertilized egg from the uterine cavity. It is carried out using a special suction device, a cannula and a disposable catheter. “Mini-abortion” is done at the earliest stage of pregnancy - up to 5, maximum 6 weeks. Some commercial clinics offer paid abortion by vacuum aspiration at later stages, for example, 8 or even 10 weeks. You should not agree to this, since they begin to perform it with vacuum suction, but ultimately end with curette curettage. This is due to the fact that the fertilized egg has a larger diameter and is already much more tightly attached to the walls of the uterus.

    Gynecologists remind us that “mini” is a surgical intervention, although there are fewer complications after it than after a classic abortion. If the medicinal method is not suitable, this method is optimal for most women. Don’t forget about taking the necessary tests in advance (smears, PCR for latent infections, general blood tests and for syphilis, HIV, hepatitis B and C) and conducting a control ultrasound examination after the procedure.

    The most common abortions in the capital, and in other regions of the country, are surgical or otherwise “cleaning”. They are used in cases where more gentle methods - medication and vacuum - are not indicated. The main part of this type of abortion is curettage of the uterine cavity with special instruments - curettes. This intervention in gynecology is considered surgical and is carried out only in a hospital setting (public or private clinic). Terminate the pregnancy by at will a woman can take up to 12 weeks, or for medical and social reasons this can be done at a later date.

    What is the main danger of this method? First, it is performed under general anesthesia, usually using intravenous anesthesia. Secondly, it involves mechanical expansion of the cervical canal. Such intervention in the future can provoke miscarriage, inflammatory processes, and infertility. This poses a particular danger to nulliparous women. It should also be remembered that the longer the period, the more difficult it will be to avoid the consequences of the intervention.

    If you nevertheless decide to sign up and have an abortion, paid or free, at a commercial medical center or a district antenatal clinic, it doesn’t really matter, just think carefully about the possible consequences again:

    Abortion. - this is the most common reason gynecological diseases. Complications occur in at least one in five. Special group risk - nulliparous women;
    . as a result, the menstrual cycle is often disrupted (about 12% of women), cycles become irregular, bleeding between periods is possible,
    . if a woman who gave birth had an early abortion, her cycle can be restored in 3-4 months; if the woman did not give birth before the operation, restoration of all functions may take up to six months or more;
    . always disrupts the functioning of the endocrine and nervous systems, reduces the body's resistance. For all women, violence against one’s own body is a psychological stress that can lead to mental changes;
    . a surgical abortion performed in Moscow and in a good private clinic, like any other operation, may not be entirely successful. Then you will have to undergo serious treatment and, possibly, for a very long time.

    According to doctors, medical termination of pregnancy is considered relatively safe. Clinics can perform abortions only up to 63 days of absence of menstruation, i.e. up to 6-7 weeks. In some cases, it is carried out at 8-10 weeks, but strictly in a gynecological hospital. The medicinal type of abortion is closest in mechanism to spontaneous abortion, that is, to a miscarriage. The woman takes medications according to the regimen for several days. The tablets provoke the death of the embryo and its expulsion from the uterine cavity. Gynecologists recognize that this technique has the least effect on the menstrual cycle and the ability to conceive and has the least potential harm to female reproductive health. The main advantages of this method of abortion: early timing, minimum negative consequences, there is no psychological trauma, and is highly safe due to the absence of surgical intervention.

    Disadvantages of the medicinal method:

    • Available only during early pregnancy,
    • Possibility of side effects (nausea, vomiting, headache, diarrhea),
    • Bloody discharge persists for a long time, requiring medical supervision.
    • There may be problems when going to a bad gynecological clinic: when using low-quality drugs (expired, non-original, substitutes, etc.), which is often practiced in “cheap” gynecologies. The consequences of this are quite unpredictable - from allergic reactions before hormonal imbalance, etc..

    Where is the best place to have an abortion?

    If you are forced to make this difficult decision about the fate of this pregnancy, it is important to take steps to minimize the risk of possible negative consequences to a minimum. And here the question of choosing a method and the best private clinic where to get an abortion in Moscow comes first. Paid, but not cheap, in unclear conditions and with unknown drugs, necessarily in a medical institution licensed to operate in the field of obstetrics and gynecology, using certified drugs.

    We must be aware that minimum prices, even very low ones, cannot be offered just like that, out of the “kindness” of the center. Perhaps this would be good, but no one can exclude the economic side. High-quality services, including reception and examination by qualified specialists, necessary tests in the laboratory (and not in the next office), original drugs, follow-up observation - all this is included in the cost of termination of pregnancy. In Moscow, the average price for abortion pills, including anonymously, (not including control) Russian production- from 6,000 rubles, French - minimum from 10,000 rubles. Only in this case can you be sure that you have made every effort to maintain your health and minimize the risk of consequences!

    How much does an abortion cost in paid clinics?

    The cost of abortion services in Moscow is offered by gynecology in a wide range and it varies depending on:

    • method (surgical - “cleaning” or “mini” or non-surgical - “pills”),
    • the period during which it is carried out,
    • medical institution(location, included services and their characteristics).

    Prices for vacuum and surgical medical abortions vary depending on the duration, anesthesia used and, of course, the clinic. Full complex paid services(examination, anesthesia, abortion) on average will be no less than:

    for mini - from 8,000 rubles,
    for cleaning - from 12,000 rubles,
    for pharmabort - from 10,000 rubles.


    Get an abortion: offer from our clinic

    A private clinic provides abortion for a fee and only by tablet method, in the early periods strictly allotted for this - up to 49 days of absence of menstruation, i.e. up to 7 weeks. We definitely conduct a preliminary conversation about the dangers of abortion, consultation on methods of terminating pregnancy, examine to exclude contraindications, and use only the best pharmacological agents certified and declared in the Russian Federation (Mifegin and Mifepristone). You can make an appointment for an abortion by phone or 24 hours a day on the website online (see the link at the bottom of the page).

    CERTIFICATES AND DECLARATIONS

    Mifegin Mifegin Mifepristone Mifepristone
    Misoprostol Misoprostol Mirolut Mirolut

    Below is the price of abortion depending on the term and country of origin (Russia or France), as well as a special offer from our “Gynecology Clinic” to perform a high-quality abortion on an “All inclusive” basis.

    Medical abortion is a gentle and gentle alternative to surgical intervention in cases where the pregnancy is undesirable. Early terms, up to 6-7 weeks - the best and optimal time for abortion using the tablet method.

    So, you discovered that your menstruation was delayed by several days, you took a test and it showed two lines... A wonderful event in a woman’s life, but sometimes, due to reasons, it can be unplanned at the moment. There is no need to rush - think everything over carefully, discuss it with your partner, and only then make a final decision. Remember, this is your choice and only you are responsible for its consequences.

    A woman can make an appointment and terminate a pregnancy at the clinic at her own request only within the strictly limited time frame. They are clearly regulated by law and the limit for medical abortion is 12 weeks. At the same time, a woman has the right to choose the method that best suits her; there are three of these:

    1. Surgical (operational) method,
    2. Vacuum (operational, minimally invasive) mini-abortion,
    3. Medical abortion (pills).

    What is medical abortion?

    The essence of this method is as follows. On early stages The development of pregnancy depends on the hormone progesterone. Under its action, the uterus is in a state conducive to the acceptance and development of a fertilized egg. Therefore, the use of mifegin (mifepristone) - a progesterone antagonist - leads to the termination of pregnancy, increased uterine contractility, dilation of the cervix and promotes the separation and expulsion of the fertilized egg.

    Of all existing methods termination of pregnancy in the early stages, medication is better, because it is as safe as possible. So, for example, in 2005. The World Health Organization (WHO) has included Mifegin (mifepristone) in the list of essential medicines. But it should be borne in mind that these drugs are used only in medical institutions and under the supervision of a doctor. Independent use of illegally obtained pills of unknown origin in order to terminate a pregnancy at home is fraught with very sad consequences!

    Duration in weeks

    • Medical termination of pregnancy - up to 6 weeks
    • In preparation for surgical curettage - up to 12 weeks.

    Medical abortion can only be done in the early stages - up to 49 days from the first day of the last menstruation or up to 42 days after its end. The non-surgical method is most effective for up to four to five weeks, while the fertilized egg is weakly attached in the uterus, hormonal background women have not finally adjusted to bearing a fetus. In some cases, taking into account the results of the preliminary examination, short periods of conception and the presence of indications, it is possible to have an emergency abortion on the day of treatment.

    CONTRAINDICATIONS

    • suspicion of ectopic;
    • chronic adrenal insufficiency;
    • therapy with corticosteroid drugs;
    • individual pharmacological intolerance;
    • hemophilia, grade II-III anemia, hemorrhagic syndromes;
    • use of anticoagulants (heparin);
    • pregnancy caused by an IUD;
    • inflammatory processes of the genitals in acute stage;
    • severe forms bronchial asthma and obstructive pulmonary diseases;
    • enteritis, colitis, gastritis, pancreatitis;
    • liver failure;
    • prosthetic heart valves, endocarditis in the past.

    LIMITATIONS FOR MEDAL ABORTION

    • smoking women over 35 years old (more than 10 pieces per day),
    • asymptomatic uterine fibroids,
    • sutures on the uterus after surgery,
    • hypertonic disease,
    • breast-feeding- stop for 14 days after taking the drug.

    Possible complications

    The main consequence after a medical abortion is the complete or partial absence of the abortive effect - from 5% to 15% and depends on the patient’s individual response to the drug. With a longer period, the number of complications increases. Of them:

    • from 1 to 3.5%- cases of ongoing pregnancy,
    • from 3 to 7.0%- incomplete expulsion of the fertilized egg,
    • from 1 to 4.5%- bleeding requiring intervention.

    OTHER POSSIBLE SIDE EFFECTS

    • painful sensations - 25-45% of cases;
    • moderate cramps in the abdominal area;
    • nausea, vomiting, diarrhea;
    • rare cases of rash, urticaria;
    • rare cases of migraine, malaise;
    • attacks of fever, dizziness, chills;
    • increase in temperature (up to 37.5C).

    WE PROVIDE TABLET ABORTION WITH THE following DRUGS:

    By the way, our clinic has been carrying out medical abortion with Mifegin (France) or Mifepristone (Russia) tablets since 2001, according to the standards approved in Moscow, with a Certificate of Conformity attached to the drug packaging! Make an appointment for a medical abortion by calling the clinic or online on the website around the clock.

    HOW THE PROCEDURE GOES, STEPS

    1. Preliminary part.
    Since tablet abortion has time restrictions, as well as a number of contraindications, the woman must undergo a preliminary examination on the day of treatment before starting the procedure. To do this, a gynecological ultrasound of the pelvis is first performed to confirm the presence of intrauterine pregnancy and its duration. This is followed by a consultation with a gynecologist regarding this method, contraindications, possible complications and course options and expected results of the procedure. Examination on the chair and taking recommended tests. Allowing time to make a final decision.

    2. Taking a drug for medical abortion.
    If the decision to terminate an early pregnancy with pills is confirmed, an Agreement-consent is signed to carry out this procedure, take Mifegin or Mifepristone in the presence of a doctor, draw up a schedule for taking pharmacological support drugs and control visits to the clinic. After 36-48 hours, misoprostol derivatives (“Topogin” or “Mirolyut”) are taken in a dosage according to the drawn up regimen.

    3. Dynamic control.
    After 3-4 days, the first ultrasound is performed to monitor the progress of the procedure. On the same day, preventive measures (drip) may be recommended, and if necessary, correction of the regimen taking into account the test results. If your blood Rh factor is negative and your partner is positive, it is advisable to get vaccinated anti-Rhesus immunoglobulin to prevent Rh conflict during subsequent pregnancy

    4. Control of the result.
    After 12-14 days, a second control ultrasound is recommended to clarify the final result. If the result is positive, a program for preventing the consequences and complications of pill abortion may be offered (see details below).

    The cost of early pregnancy with pills

    The price of a medical abortion in Moscow in different medical centers may vary. With us, it depends on the weekly period, the chosen drug (France or Russia), as well as the option - standard or “all inclusive”. If you want to find out in detail what services are included in this or that option, click on the appropriate link below.

    Before 12 weeks, a woman may decide to terminate her pregnancy early, using surgical, medical or traditional methods. After this period, an artificial miscarriage is undesirable; risks and threats to the mother’s life increase. Find out what methods doctors offer to terminate pregnancy, which of them are the safest and do not carry serious complications.

    What is termination of pregnancy

    Early abortion or termination of pregnancy is the premature artificial cessation of fetal development in the uterus. Spontaneous termination is called miscarriage. Abortion is performed non-surgically or surgically and includes a set of measures:

    • Exploratory survey;
    • carrying out the procedure;
    • monitoring the condition of the woman’s body;
    • psychological support.

    Contraindications to abortion are the presence of acute and subacute inflammatory processes in the genitals. It is impossible to terminate a pregnancy in the presence of purulent foci, acute infections, if less than six months have passed since the previous abortion. Before the early termination procedure, the woman undergoes an examination by a gynecologist, receives a conclusion about the presence and duration of pregnancy based on ultrasound, and takes blood tests for key indicators and sexually transmitted diseases.

    Is it possible to terminate an early pregnancy?

    A woman can resort to artificial termination of pregnancy up to 12 weeks by personal decision. Late abortion is allowed up to 22 weeks, if there are social indications and the patient’s consent, at any period - if there are medical indications. It differs depending on the method of abortion. maximum term, on which you can resort to it:

    • medication (taking pills) – up to 5-6 weeks;
    • mini-abortion (vacuum aspiration) – up to 5 weeks;
    • curettage (scraping) – combined with a mini-abortion, carried out up to 5-8 weeks;
    • instrumental curettage – up to 12 weeks;
    • surgery – 7-12 weeks.

    How to terminate an early pregnancy

    If a woman decides to have an abortion and it is not advisable to continue the pregnancy, she should consult a doctor. Early stages allow you to terminate a pregnancy quickly, without consequences. It is undesirable to delay an abortion, because the older the fetus, the greater the risks to the mother’s life during the procedure. You can resort to traditional methods, taking herbs, medications (tablets and suppositories), and surgical methods.

    Methods

    In medical practice, the following methods of terminating pregnancy in women in the early stages are common:

    • medicinal - taking special tableted drugs that increase the contractile function of the uterus, causing endometrial detachment and the removal of the fertilized egg according to the type of menstruation;
    • vacuum aspiration – a flexible cannula is inserted into the uterine cavity, the egg is sucked out with a special vacuum aspirator;
    • curettage is a procedure for curettage of the uterine cavity after dilatation of the cervical canal;
    • surgical – performing an operation.

    Medication interruption

    A pill for early pregnancy termination is considered the most common method of getting rid of a fetus. The advantages of tablet drugs include safety, minimal threat of death, and the possibility of use on early stages. The tablets are taken orally and act on the uterus, causing it to contract. The fertilized egg is released according to the type of menstrual bleeding.

    The disadvantages of using tablet drugs for artificial interruption Undesirable consequences of pregnancy include:

    • blood clotting disorder;
    • cause bleeding;
    • increased likelihood of tumor formation;
    • hormonal disorders;
    • inflammatory processes in the genital organs;
    • does not promise a 100% guarantee;
    • when used for periods longer than 5-6 weeks, there may be a risk of intoxication, painful heavy bleeding, sepsis, and fever.

    Drugs

    You can find out which pills can be used to terminate a pregnancy from a gynecologist during a personal consultation. You cannot take it on your own, relying on advice from the Internet. Popular means include:

    • Postinor is a drug emergency contraception, taken within three days after fertilization;
    • Pencrofton - recommended for women becoming pregnant for the first time, does not lead to secondary infertility;
    • Mifolian - promotes detachment of the fertilized egg from the uterus;
    • the drug Mifepristone - taken 3 tablets at a time, according to reviews, can stop the production of the hormone progesterone;
    • Mifeprex - the drug is suitable for interrupting the period up to 42 days, works effectively, is well tolerated, possible complications- bloody issues;
    • Epostan – blocks the production of hormones and enzyme activity, effective in 80% of cases;
    • Mifegin is the most reliable drug, achieving almost 100% effect.

    Candles

    To perform a medical abortion, special suppositories containing prostaglandins are inserted into the uterus. These substances increase uterine contractions, causing stimulation and detachment of the fertilized egg. Popular drugs include vaginal suppositories Dinoprostone and Papaverine. Candles are practically not used independently, only in combination with other methods. Their side effects are nausea, vomiting, diarrhea, bronchospasms, increased body temperature. The advantages of using suppositories include ease of use and minimal risks to life.

    How is a medical abortion performed?

    Carrying out an artificial miscarriage in the early stages with the help of medications takes place in four stages, described below:

    1. Visiting a doctor - determining the gestational age, performing an ultrasound, obtaining a referral for blood tests.
    2. Determining the presence or absence of contraindications, issuing a tablet. Patients take medications under the supervision of a doctor in two doses. The second time, the woman comes on an empty stomach or two hours after eating. After taking the pill, the patient is under observation in the hospital for another two hours. A sign of the action of the tablets is the appearance of bloody discharge.
    3. Taking prostaglandins is carried out in 40% of cases if the fertilized egg does not die after taking the pills. These synthetic active substances increase uterine contractions and cause bleeding. It is important to stay in the hospital so that blood loss is constantly monitored. The egg expulsion procedure may be accompanied by the release of blood clots, headaches, nausea, diarrhea, and cramping abdominal pain.
    4. Recovery period - 10-14 days after the abortion, the woman visits a gynecologist to check the condition of the uterus, and a second ultrasound is performed. To remove remnants of the fertilized egg, additional cleaning is used. Recovery lasts a month, during which you cannot drink alcohol, have sex, visit baths and swimming pools, the gym, use tampons, and it is recommended to avoid nervous breakdowns.

    Mini abortion

    Vacuum aspiration or mini-abortion is considered a relatively safe abortion technology. The advantages include high efficiency, an increased period of time during which it can be done (7 obstetric weeks from the moment of conception or 21 days from the moment of missed menstruation). When performing vacuum aspiration, there is no need to expand the cervical canal or clean the uterine cavity with a curette. The disadvantages include the risk of inflammation, uterine perforation, and pneumoembolism.

    To perform vacuum aspiration, a woman is given local anesthesia. A catheter attached to a special device is inserted into the uterus through the cervical canal. It is connected to the container, after which the fertilized egg is sucked out along with the membranes and endometrium. The procedure lasts five minutes. If after it the patient feels painful spasms of the uterus, intramuscular injection of an antispasmodic solution will help get rid of them.

    Surgical termination

    Until 7-12 weeks, surgical or instrumental abortion is used. Most cases of termination of pregnancy occur there. The doctor administers an anesthetic (general anesthesia) and dilates the cervix with metal tubes and dilators. Then, with a sharp curette, the entire endometrium with the egg is scraped out. The procedure is performed without ultrasound, almost by touch, which leads to complications.

    Due to mechanical dilation, the cervix is ​​injured, which increases the risk of premature dilatation in the next pregnancy. Isthmic-cervical insufficiency may occur. This can be avoided by dilating the cervix with vaginal or oral medications. The serious consequences of surgical abortion are:

    • perforation of the uterine wall;
    • severe uterine bleeding;
    • hematometra - accumulation of blood in the uterine cavity;
    • placental polyp;
    • intrauterine synechiae-adhesions;
    • endometritis;
    • chronic inflammation of the ovaries, leading to infertility and ectopic pregnancies;
    • Rhesus conflict.

    Possible consequences

    In the early stages, termination of pregnancy is accompanied by the risk of complications and serious consequences:

    1. Early - occur immediately after an abortion or within one month after it. The frequency of their occurrence is 35%. These include bleeding and uterine perforation.
    2. Distant – observed in 30-35% of cases after a month from the date of the procedure. These include damage and scars of the internal pharynx, cervical canal, damage to the endometrium, the formation of adhesions, disruption of the patency of the fallopian tubes, and the development of infertility. Occur frequently inflammatory diseases genital tract, menstrual irregularities, problems with subsequent childbearing (toxicosis, risk of bleeding during childbirth, weak labor activity, developmental deviations in children).

    Abortions in women who become pregnant for the first time have serious consequences. In such patients, the risk of interruption of the next pregnancy is 4 times increased, and the course of labor is twice as complicated. The risk of complications is also increased in girls who have had their first abortion before the age of 17 - the functioning of the cardiovascular, endocrine, and nervous systems is disrupted, and the risk of developing breast cancer increases.

    The consequences of abortion depend on the method used. The following complications are identified:

    1. Mini-abortion: minimal damage to the uterus, bleeding, infection of organs. Inflammation of the genital organs and purulent infection often occur. The cause of complications is the partial removal of the fetus, the dead tissue of which decomposes and becomes infected with bacteria.
    2. The medicinal method does not harm the mucous membrane of the uterine walls; chemicals kill living cells of the zygote. Consequences include heavy bleeding, weakness, and dizziness. If an incomplete abortion is performed, surgery will be required. The composition of the drugs can affect all systems of the patient’s body.
    3. Surgical curettage increases the risk of infertility, fetal failure, and miscarriages. After it, the reproductive genital organs suffer, they become deformed, the uterus is perforated, fallopian tubes adhesions appear.
    4. General consequences: inflammation, formation of capsular purulent boils, fistulas, penetration of pus into all pelvic organs.

    How to terminate an early pregnancy at home

    At home, it is possible to terminate a pregnancy in the early stages, but with a high risk of complications. It is better not to self-medicate and have abortions to avoid a threat to life and severe blood loss. Only a doctor can give an order for the operation and monitor the correctness of the process in order to minimize threats and complications.

    Postinor

    The drug for emergency termination of pregnancy is Postinor. It is used after unprotected sex has occurred. Postinor is sold in pharmacies, the package includes 2 tablets containing levonorgestrel. The first is taken immediately after sexual intercourse, but no later than 72 hours, the second is taken 12 hours after the first. The effectiveness of the drug is 85%.

    Abortion using folk remedies

    If the duration of an unplanned pregnancy is short, you can try using traditional methods of termination. These include the following folk methods:

    1. Overheating – prolonged intense exposure high temperature provokes a miscarriage. The danger lies in intense bleeding and ineffectiveness of the method.
    2. Dry fasting – you can’t drink or eat for three days. The body, in search of water, will draw water from the embryo, leading to menstruation.
    3. Taking a hot bath with mustard - spend as long as possible in it, periodically adding hot water, not allowing it to cool. The procedure will dilate blood vessels, increase blood circulation, and contract the uterus. This is a dangerous method that results in extensive blood loss.
    4. An injection of calcium chloride is practically not used due to severe consequences.

    Herbs

    An unsafe method of using herbs can lead to intoxication of the body and damage to the female genital organs, partial damage to the fetus, and disruption of vital functions. It does not always lead to miscarriage. Herbal medicine options in the first trimester of pregnancy are:

    1. Reception of watercress - grind the herb to a paste, squeeze out the juice, dilute 2:1 with water, boil for two minutes. Drink 10 ml three times a day.
    2. Decoction of tansy or oregano - pour 100 g of herb with 4 cups of boiling water, boil for 5 minutes. Leave for 2-3 hours, drink 10 ml every 4-5 hours.
    3. Decoction of club moss oblates - 20 ml three times a day.
    4. A decoction of lush cloves - five seeds per 200 ml of boiling water, drink 20 ml three times a day.
    5. Barberry tincture with vodka – 25 drops per day.
    6. Marsh wild rosemary - 10 g of dry herb, pour 250 ml of boiling water, leave for 2 hours. Drink 20 ml three times a day.

    Which abortion is better?

    Gynecologists have a variety of abortion practices, including early abortions. They are prescribed depending on individual characteristics female patients. The most gentle towards women's health called medical abortion. In second place in terms of safety is the vacuum aspiration method. The surgical method is considered the most dangerous and difficult.

    Price

    The cost of early abortion depends on the method chosen and the level of the clinic where the procedure is performed. Approximate prices for abortion are listed below:

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