How does medical abortion proceed? Comparison of medical and surgical methods of abortion. Induced abortion. Surgical and non-surgical methods of abortion

Medical abortion, which is performed up to 6-7 weeks, is considered less traumatic for the female body. This method of terminating a pregnancy is considered quite effective - the result reaches up to 97%, unless, of course, you do “self-medication” and follow all the doctor’s recommendations. Some women complain that pills do not work for medical abortion, let's figure out why this happens.

The essence of medical abortion

A woman planning to terminate a pregnancy medically needs to know how this abortion is performed.

For a period of up to 6 weeks, the woman alternately - with an interval of 1-2 days - takes Mifepristone and Misoprostol tablets (their analogues can be used).

• The first ones stop the production of the hormone progesterone in the female body, without which further development of pregnancy is impossible - the embryo simply dies as a result of the action of Mifepristone.
• The latter contribute to the fact that the uterus rejects the frozen fertilized egg - it is excreted along with secretions within a few days from the moment of taking the first tablet (in different women this period is individual).

Thus, medical abortion is an artificially induced miscarriage. With a correctly performed abortion, mechanical impact on the cervix and the uterus itself is eliminated, which makes this method the safest for women, especially nulliparous women.

However, it also happens that the pills do not work as expected. The results of this:

• the fertilized egg is partially removed, so the gynecologist resorts to curettage of the uterus with a curette;
• the pregnancy continues, but in this case it is undesirable to leave the child, since taking the drugs will negatively affect its further development.

To prevent this from happening, you should strictly follow the technology.

Why don't abortion pills work as they should?

The first thing a woman who has decided on such a method of getting rid of pregnancy should remember is that a medical abortion should be carried out with the approval of a gynecologist and under his close supervision. It is very important to follow the sequence of actions and dosage.

To understand why the abortion didn’t work, let’s compare what a doctor does in gynecology and how a medical abortion works at home.

Preparing for an abortion:

• Initially, the specialist will conduct an ultrasound and determine the duration of pregnancy, study the medical history and assess the general health of the patient - the latter is important, since medical abortion has contraindications. It is also important to make sure that the pregnancy is not ectopic, since in this case, medical abortion is not acceptable.
• At home.The woman independently calculates the duration of her pregnancy. Most often this is done incorrectly. Some people run the risk of taking abortifacient pills at inappropriate periods. It is also impossible to determine independently at home ectopic pregnancy. If you take pills for an ectopic pregnancy, there will be no abortion.

Important! The possibility of an allergy to the components included in the tablets should be excluded, as this can lead to negative result. The same applies to the presence intrauterine device– before a medical abortion, it must be removed.

Calculation of the dose of drugs for abortion:

• In the clinic.The gynecologist accurately calculates the dosage and always dispenses two drugs. The dose (200 mg or more) is selected individually, mainly depending on the stage of pregnancy. The woman drinks the first tablet in the presence of a gynecologist, who monitors her condition for a couple of hours (during this time the woman will have to feel changes in her body indicating that the drug has begun to act, and tell the doctor about them). Then the woman goes home. The second tablet is taken after a day or two - this, again, is determined by the doctor. It causes the uterus to contract, and the fertilized egg comes out along with the discharge.
• At home.The woman takes as many tablets as recommended in the instructions. The second drug is not sold in pharmacies, so the chance that an abortion will take place is no higher than 20%. And an overdose ends in hospital.

After an abortion:

• In the clinic.If after a certain time the miscarriage does not occur, the doctor takes other measures. A control ultrasound after an abortion is also required - the gynecologist will make sure that everything went well and the uterus is completely clean.
• At home. If the abortion does not occur, the woman will know about it only when the fetus begins to move. It will be too late to do anything.

Important! Under no circumstances should you induce it yourself - this is quite dangerous and can lead to bleeding. In such a case, as well as if your general condition worsens, you should consult your doctor.

Why else might medications for medical abortion not work?

The pills may not work because the woman medical abortion behaves incorrectly. Thus, alcohol and nicotine significantly reduce, and sometimes completely stop, the effect of drugs. Therefore, while taking the pills, you need to completely give up bad habits.

Thus, despite the apparent simplicity and safety of medical abortion, you should not rely on the advice of women who once resorted to it in living conditions or those who know about this method of termination of pregnancy by hearsay. Only contacting a reputable clinic and a qualified specialist will guarantee that a medical abortion will take place as expected and without complications.

There are several methods to terminate a pregnancy early. Each of them has its own risks and contraindications. In the article we will look at medical abortion, how the procedure works, and whether there are any risks.

Until recently, vacuum or mini-abortion was the only way to terminate an early pregnancy. But he had a lot side effects due to the fact that it involved intervention in the uterine cavity, which could result in injury or infection.

That's why scientists studied alternative ways termination of pregnancy that does not require instrumental intervention. After the invention in the 80s of such hormonal drugs How Mifepristone and Misoprostol made medical abortion possible. Let's look at how everything happens next.

Drugs for medical abortion

Today there are many analogues of Mifepristone - Mifeprex, Miropriston, Mifegin, Pencrofton, RU-480 and others. These are progesterone antagonists, which, in addition to abortion in a certain dosage, can be used as emergency contraception(Gynepristone). The effect of these drugs is to block the action of progesterone, the main hormone responsible for the development of pregnancy. In parallel with the above drugs, Cytotec is used to terminate pregnancy. How to take medications depends on the situation. Therefore, the gynecologist should prescribe the dosage.

Misoprostol has also acquired different trade names and is also known in Russia as Mirolut. Prostaglandins contained in the drug provoke contractions of the muscles of the uterine walls, after which the fertilized egg is expelled from the cavity.

At what period and how is medical termination of pregnancy done?

The decision to have a medical abortion is made by the woman. The pregnancy period should not exceed 49 days from the beginning of the last menstruation. It should also be taken into account existing contraindications, among which:

• suspicion of the development of an ectopic pregnancy;
• renal or liver failure in acute or chronic form;
• long-term use of some hormonal drugs(dexamethosone, prednisolone, etc.);
• taking anticoagulants;
• exacerbation of inflammatory processes in the woman’s urogenital system;
• presence of uterine fibroids;
• pregnancy occurring when using an intrauterine device or immediately after discontinuation of oral contraceptives;
• severe form of bronchial asthma;
• individual intolerance to drug components.

During the first visit to the gynecologist, a woman undergoes gynecological examination and passes necessary tests, including smears and blood tests. Ultrasound diagnostics of the pelvic organs is also necessary to eliminate the risk of ectopic pregnancy. Before terminating a pregnancy using medication, the doctor will consult you about the possible risks. The woman signs consent to use a particular drug for this purpose.

How does pregnancy termination occur with the help of medications? This will require three steps. On the first day, after a light breakfast, a woman drinks 3 tablets of Miropriston or analogues with a dosage of 200 mg, remaining under the supervision of a doctor for several hours. After this time, the patient is sent home, but at the first fear that something is going wrong, she should call the doctor.

The second visit is 48 hours after the first dose. On this day, take 2 tablets of Mirolut or analogues with a dosage of 200 mcg. Within a few hours, bleeding from the vagina should begin. If they are not observed, the Mirolyut administration is repeated. As a rule, the amount of discharge, as well as the duration, varies depending on the stage of pregnancy and individual characteristics woman's body. Usually spotting is present for 1-3 weeks. Sometimes it may be necessary to take hemostatic drugs.

The third visit to the gynecologist is scheduled no later than two weeks after the second. The doctor conducts a follow-up examination and ultrasound to exclude the possibility of complications such as incomplete abortion or a pregnancy that continues to develop. The doctor is developing a method of preventing unwanted pregnancy for the future.

The need to terminate a pregnancy is not uncommon. Since abortion in any case is always psychological stress and a physical blow to a woman’s health, making it as safe as possible is the main task of both doctors and patients themselves.

One of these relatively atraumatic methods of gestation termination is medical or pharmaceutical abortion, which is carried out not invasively, but with the help of special medications. In civilized European countries, the majority of all abortions are carried out in this way.

Advantages and disadvantages compared to other methods

Compared to other methods, pharmabort is highly effective coupled with a good safety profile.

Its advantages include:

• maximum preservation of reproductive health, which means the lowest risk of infertility after;
• termination of gestation compared to other types of abortion;
• absence of mechanical trauma to the vagina and uterus;
• relative painlessness;
• no risk of postoperative and anesthetic complications;
• possibility of performing the procedure on an outpatient basis, in as soon as possible and with minimal recovery period;
• minimal psychological trauma.

The disadvantages of pharmabort are relative and are related to the fact that:

In what time frame can it realistically be done?

The timing of a medical abortion greatly affects its effectiveness. The earlier the procedure was carried out, the more effective it was. Compared with pharmaabortion performed in the first week of missed menstruation, the effectiveness of termination of pregnancy 2-3 weeks after the delay is reduced by 10%.

At what period is medical termination of pregnancy performed and until what week is this method safe? The deadline for the procedure is 9 obstetric weeks or 63 days from the start of the last menstrual cycle. After this period, pharmaabortion is ineffective and unsafe.

In this case, termination of pregnancy is carried out only after the fertilized egg is detected in the uterine cavity using ultrasound - and therefore not earlier than after a delay of several days.

How does it go and what sensations is it accompanied by?

Once it is established that uterine gestation has occurred and its duration does not exceed 9 obstetric weeks, medical abortion becomes possible. Hospitalization is not required.

Stages of medical abortion:

The first few days a woman may be bothered by:

• pain and cramping as a result of strong contractions of the uterus;
• bleeding of varying intensity, which can last for several weeks;
• dizziness, nausea and vomiting - as the body’s reaction to a sharp hormonal imbalance.

Find out about the very first symptoms of pregnancy, which will help determine the likelihood of its occurrence in the earliest stages.

Absolute and relative contraindications

Absolute contraindications to medical abortion are:

A woman may be denied this procedure if she has several relative contraindications to its implementation:

• unsatisfactory blood tests (reduced coagulation, anemia);
• epilepsy or seizure alertness;
• age under 18 or over 35 years;
• unstable menstrual cycle;
• smoking within the last 5 years;
• long-term use of antithrombotic drugs.

Complications after pharmaabortion for a woman and how to avoid them

Statistics on complications of the medical method of abortion look optimistic: 85% of patients tolerate the procedure relatively easily and without health consequences, and the mortality rate as a result of pharmacological abortion is much lower than during childbirth.

The effectiveness of the medical method of abortion, the frequency and degree of complications depend on the professionalism of the attending gynecologist and the responsibility of the patient herself, her behavior during the recovery period.

To keep the health risk to a minimum The following rules must be strictly observed:

• Pharmaboration can only be done under the supervision of a qualified specialist and with his consent. Under no circumstances should you take abortifacient medications on your own.
• It is necessary to conduct a thorough examination before the procedure and, if there are any contraindications, consider other options for terminating gestation.
• During and after the procedure, you should carefully follow the doctor’s recommendations and undergo regular examinations.
• After the procedure of medical termination of pregnancy, it is necessary to monitor your health daily, measure your temperature and carefully observe the rules of personal hygiene. It is highly undesirable to use tampons. In addition, it is necessary to limit for 2 weeks sex life, motor activity, drinking alcohol, using thermal procedures.
• If there are signs of deterioration in health after medical termination of pregnancy, fever, unusual discharge or odor from the vagina, you should immediately consult a doctor.
• To prevent another unwanted conception and restore hormonal levels for at least six months, you must take oral contraceptives as prescribed by your doctor.

If the above rules are not followed, there is a high probability of developing the following complications:

• Bleeding– the most common complication of pharmacotherapy. Appearance bloody discharge after termination of pregnancy - this is the norm, but if the bleeding is too heavy or prolonged, this can lead to large loss of blood, anemia and even death of the patient. Warning sign: 2 or more are used in 1 hour sanitary pads for 5 drops.
• Hematometer or accumulation of blood in the uterus, which can lead to suppuration and sepsis. An alarming sign: the absence of post-abortion bleeding, coupled with increasing pain in the lower abdomen.
• Incomplete abortion, in which the fertilized egg is only partially released from the uterine cavity. The result can be purulent and septic complications. To exclude this pathology, it is necessary to undergo a control ultrasound examination of the uterine cavity shortly after the pharmaabortion.
• Infectious complications, endometriosis and endometritis occur much less frequently than with other types of abortion. A thorough examination before and after the procedure, compliance with hygiene rules and compliance with all recommendations of the attending physician will help to completely exclude them.

If you want to learn more about how the procedure for medical abortion occurs and its detailed description, we recommend watching the following video:

No type of abortion can be absolutely safe. Although Medical termination of pregnancy does not cause any particular harm to the female body, treating it as a method of emergency contraception is completely wrong and illiterate. This is a forced measure that should be rare in a woman’s life.

Until recently time It was believed that pregnancy could only be terminated through surgery. However, today there are many other methods, among which medical abortion has become somewhat popular. Some women believe that taking the pill will get rid of an unwanted pregnancy. This is true, but do not forget about possible complications, which can result from taking just one single tablet.

Abortion- this in itself is a risky business, because it is unknown how the body will react to such an unceremonious intervention in the vulnerable structure of the female reproductive system. Someone can have 5 abortions and still be able to conceive and carry to term. healthy child, and another woman will become infertile after the first abortion. The surgical method of terminating a pregnancy has been around for many years; we can say that the procedure for performing such an abortion has been worked out for years. The same cannot be said about medical abortion, because indeed the results often exceed expectations, and not in in a good way. No matter how the benefits and safety of medical abortions are described, the percentage of complications after it remains quite high, in particular, many women, after provoking a miscarriage, cannot subsequently have children for various reasons. And if during the process of surgical termination of pregnancy the doctor can control the situation to one degree or another, using various tools, observing what is happening, using medications if necessary, then with a medical abortion the doctor does not have this opportunity. To some extent, taking the pill is a possibility: either everything will go well, or there will be complications that you will have to deal with later.

How it is done medical abortion? It happens in 2 stages. First, the woman takes the first pill, which causes fetal death. This pill causes growth to stop, and the myometrium begins to actively contract, which leads to separation of the fetus from the uterine wall. After 36 - 48 hours, when the fetus has died, the woman takes a second tablet. It stimulates the contractile activity of the uterus, and the dead fetus is expelled.

What are the most common complications of medical abortion? One of the serious consequences of taking the pill is incomplete miscarriage. This means that part of the fetus and its membranes may remain inside the uterus. The longer the pregnancy, the higher the likelihood of such a complication occurring during a medical abortion. Then a real chain reaction can develop, which ultimately leads to irreversible changes. The remaining part of the fetus provokes the development of an infectious process in the uterus.

Infectious process affects the mucous membrane, and sometimes the muscular layer. Do not forget that in the uterus for some time there is a wound from the place of attachment of the fetus. If it becomes infected, sepsis may develop. Unfortunately, the mortality rate from sepsis is simply enormous; in this case, a woman’s chances of survival are reduced to a minimum. In this regard, medical abortion is contraindicated for women who have inflammatory diseases uterus or ovaries. In all cases, a medical abortion should be performed only in the presence of a doctor who will monitor the woman’s condition and, if necessary, provide first aid.

Rejected the fetus is carefully examined, all parts and surrounding tissues of the embryo are compared, nothing should remain in the uterus. Then a control ultrasound examination is performed. If any piece is missing, you have to perform surgery - scrape out the uterus or use vacuum aspiration. In addition, with a medical abortion, the risk of bleeding remains, so this method of termination of pregnancy is contraindicated in women with reduced blood clotting. Medical abortion may be accompanied by nausea, vomiting, severe abdominal pain and increased blood pressure.

However, having listed everything risks complications of medical abortion, it should be noted that this option of termination of pregnancy still remains promising in some respects, but requires serious improvements in order to reduce the number of complications. Its effectiveness is quite high, but medical termination of pregnancy can be carried out only in the early stages of 6-7 weeks, when serious changes in the woman’s body have not yet occurred. The earlier the deadline, the higher the efficiency this method. It must be admitted that physically it is the least traumatic for the uterine mucosa, because it is not scraped out, especially since the embryo at such stages of pregnancy is not yet firmly held in the wall of the uterus. However, just one tablet contains a truly killer dose of hormones. Because of this hormonal background women can change for a long time. Even restoring a normal menstrual cycle for some women after a medical abortion can be very difficult.
To summarize, we note several main principles, which will help reduce the risk of complications after medical abortion.

1. Both tablets must be taken in the presence of a doctor. After the pregnancy is terminated, the woman must undergo and remain under observation for some time.
2. Before a medical abortion, you must undergo an examination by a gynecologist in order to exclude the presence of infectious diseases.
3. Medical termination of pregnancy can be carried out no later than 48 days after a missed period, that is, at 6-7 weeks of pregnancy, but no more than this period.
4. Some time after a medical abortion (about a week), the woman should visit the gynecologist again, possibly taking the necessary tests to exclude the possibility of developing late complications.

Educational video of indications and contraindications for termination of pregnancy (abortion)

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There are several ways to terminate an unwanted pregnancy - through surgical procedures or using pharmacological agents. A pill abortion is easier for a woman to survive both physically and psychologically. This method is considered the safest, but you can only use it in the early stages. A woman who has made a difficult decision needs to know about the nuances and risks of the abortion method.

You should carefully weigh the pros and cons before making a choice

What is pill abortion? This is the name of the procedure for terminating pregnancy in the early stages using pills. Manipulation is also called pharmacological or medical abortion. Special “pills” were invented by French pharmacists in the early 80s. Experts decided to change the idea of ​​how to get rid of an unwanted pregnancy in the early stages, and came up with a painless method. While the fetus is small, you can do without surgical manipulation. The pharmaceutical development was tested for a long time to understand how it works and at what time it is possible to terminate a pregnancy with a pill with minimal risks. After six years of clinical research, the “pills” began to be actively used in medical practice.

How does medical abortion occur? Simplified, it looks like this: if a woman wants to get rid of an unwanted pregnancy, she takes a “pill” - and the problem is solved. The pills provoke contractions of the uterus, block the production of progesterone, after which the fetus is rejected. The success of the manipulation is indicated by post-abortion bleeding. It resembles menstruation.

In reality, the procedure is not as simple as it seems. There are a number of nuances that are important to consider. You need to know how long you can terminate a pregnancy with pills, what medications to use, and consider contraindications. A pregnant girl should contact the clinic to clarify all the nuances.

Drinking abortion drugs without first consulting a doctor is strictly prohibited.: You can cause irreparable harm to your health. The risks are especially high if the established terms of medical termination of pregnancy are violated.

Optimal time

The first thing you need to know when deciding on a pharmacological abortion is how long it can be done: medical termination of pregnancy has clear boundaries. All features of medical abortion (including timing) are regulated by the protocol drawn up by the Ministry of Health. In Russia, you can have a pill abortion up to 9 weeks. This period corresponds to 63 days of gestation. In European countries, the possibility of medical abortion has been reduced to 49 days, which is equal to seven weeks.

It will take a lot of effort to recover

It is no coincidence that medical abortion is limited to seven to nine weeks. At the eighth week, the embryo has already entered a new stage - the fetus. This means that he gradually takes on a human form. From this moment, the formation of placental vessels begins. Even if we do not consider the ethical issue, getting rid of pregnancy in later stages with the help of pills is impossible due to the high risks of heavy bleeding. The blood loss can be so enormous that it can be fatal.

Having made a difficult decision, you need to find out until what time the procedure is performed in a particular clinic. Doctors believe that the optimal time is the fourth or fifth week. Minimum term reduces risks to zero and guarantees high efficiency of manipulation.

Benefits of medication interruption

Tablet abortion is considered the safest way to solve the problem of an ongoing but unwanted conception. The main advantage of this procedure is the low level of stress. Taking a pill is much easier than deciding to have it scraped. Tablet abortion is a non-traumatic procedure, which is important for a woman who finds herself in a difficult situation. It is not always that a girl does not want to give birth due to some of her personal beliefs: a situation occurs when the pregnancy cannot be maintained due to the patient’s health. Among the indications for termination is a high probability of having a baby with genetic diseases. In such cases, the medical method of terminating pregnancy is best option so that the woman does not get hung up on the problem. The procedure is non-invasive. Everything happens as if the pregnancy was interrupted as a result of a miscarriage.

In pharmaceutical abortion, in addition to psychological aspect, there are other advantages. The main ones are:

• high efficiency (up to 98%);
• painlessness;
• no possibility of injury to the reproductive organs;
• low risks of post-abortion infections;
• eliminating the possibility of contracting hepatitis or HIV;
• lack of anesthesia.

Medical abortion is recommended for the first pregnancy. The effect of the drug on the female body is minimal. Naturally, if the timing of the procedure is observed, and the pills for terminating an early pregnancy are selected by a qualified doctor. The likelihood that after a medical abortion a woman can easily become pregnant is high, while after a surgical termination there is always a risk of impaired reproductive function, including infertility.

Preparation for manipulation

Before terminating a pregnancy medically, you will need to undergo a series of tests. The first step is to go to the gynecologist. He will conduct initial examinations. To mandatory diagnostic studies relate:

• vaginal smears;
• determination of blood group/Rh;
• tests for syphilis, HIV, hepatitis.

Carrying out the procedure

How is a medical abortion performed? Mandatory in a hospital setting. The principle of medical abortion is based on drugs from different pharmaceutical groups. Two types of pills for abortion in the early stages are used at once.

• Progesterone antagonists. The drugs reduce the level of progesterone in the blood fluid. The result is destruction of the corpus luteum, necrosis ovum, embryo rejection. There are many names of abortion pills. It is not necessary to remember which pills can be used to terminate a pregnancy. It is important to know that the primary drug is the one whose active ingredient is mifepristone. The description of the “work” of the funds is the same. Specific abortion pills How long they are effective – you need to find out from your doctor, as there are small nuances. For example, some are effective only until the sixth week, while others are effective until the ninth.
• Prostaglandins. The peculiarity of any medication in this group is that it triggers the process of embryo rejection. How does medical abortion occur in the second stage? Drugs stimulate the opening process cervical canal. The myometrium and uterus contract intensely, which promotes the release of the remains of the dead fertilized egg. Different derivative drugs are used to terminate early pregnancy in Europe; in Russia only Misoprostol is used.

Abortion pills must be selected by a gynecologist. It is important to find a specialist whom the woman will trust. To obtain a medical termination of pregnancy, you will have to visit the hospital twice. First, the doctor gives the first tablet and observes the patient for three to four hours. If everything went well, she is sent home and a time is set to continue the manipulation. You need to return to the hospital to take medication interruption tablets from another pharmaceutical group after approximately 36 to 48 hours.

On the third day after completion of the procedure, a follow-up examination should be carried out. After two weeks, the woman is examined again and an ultrasound is performed. Only after this can we draw conclusions that the procedure was successful.

Is it possible to carry out the procedure at home?

Taking medications is a blow to the hormonal system

Even in the early stages, it is undesirable to carry out a pill abortion at home. The procedure must be supervised by a doctor. He determines the grams of drugs, monitors the patient’s condition, checks whether the abortion occurred and whether it was complete. If heavy bleeding occurs, the medical facility will provide professional assistance. To undergo a medical abortion, you will have to return to the hospital, which is not entirely convenient. However, it is important to take medication interruption pills under medical supervision, so issues of convenience are secondary here.

If a woman nevertheless decides to have a pharmacological abortion at home, then there should be a person next to her who, if necessary, will call an ambulance. Before taking the medicine, be sure to say: “I’m taking a pill called...”. Close person must know what pills the woman took for medical abortion, so that if a critical situation arises, she can tell the doctors what the names of the drugs were.

Body reaction

Medical abortion drugs cause bleeding. This is the body’s natural reaction to fetal rejection. How long the bleeding lasts and what nature it is depends on the duration of the medical abortion. The earlier the manipulation is carried out, the better. If the procedure is done before the fourth week, then the bleeding is as similar as possible to normal menstruation. Normally, discharge after a medical abortion lasts seven to nine days. Moderate nagging pain may appear, as before critical days. When the procedure is done late, the discharge lasts longer. They are abundant and painful.

Pills used to terminate pregnancy affect general health women. The body may react to the procedure with a number of unpleasant symptoms:

• general weakness;
• dizziness;
• nausea;
• vomiting;
• high temperature;
• diarrhea.

Early medical abortion is usually easy. Whereas in those patients who delayed the decision, the whole list of severe reactions is observed. You should tell your doctor about them. If unpleasant symptoms do not go away for a long time or are too pronounced, post-abortion therapy may be required. It is aimed at relieving symptoms and regulating hormonal balance.

Recovery

Recovery after the procedure takes approximately a month. To ensure a successful and quick recovery, you need to follow a number of rules:

• do not lift heavy objects;
• exclude physical activity;
• do not take a hot bath;
• do not visit the bathhouse, sauna, swimming pool;
• do not swim in open waters;
• avoid hypothermia.

During the recovery period, it is important to pay close attention to strengthening the immune system. Will help increase the body's protective functions balanced diet and vitamin complexes. Vitamins should be selected by a doctor. Alcohol should be avoided. In the first month you cannot use tampons, only pads are allowed. Recommended to avoid intimacy until the first menstruation ends.

In the first six months, it is important to exclude the possibility of pregnancy. It will become a serious burden for the body. If you have questions about choosing reliable contraceptives, you should contact your gynecologist.

Possible complications

Although medical termination of pregnancy is considered the safest, a woman may face side effect tablets. Complications that arise after a medical abortion are dangerous to health and threaten the loss of reproductive function. The risks largely depend on how many weeks the interruption lasts. If the procedure is performed early, the consequences rarely occur. The longer the gestational period, the more dangerous it is to take abortion pills. Complications include:

• Blood loss. After the procedure, the presence of severe bleeding is dangerous due to large losses of blood fluid. If you do not see a doctor in time, the consequences can be irreversible – even death. In case of strong discharge, which threatens a large loss of blood fluid, the doctor prescribes hemostatic drugs after an abortion. In a critical situation, a blood transfusion may be required.
• Allergic reactions. The allergy occurs to the components of the drug that the patient took to solve the problem of unwanted pregnancy. There are different manifestations of allergies: it depends on individual characteristics and the “sensitivity” of the immune system.
• Severe pain. After the manipulation, persistent pain may be observed. Typically, this complication occurs when medical termination of pregnancy is performed late - closer to the ninth week. If the pain is so severe that it is impossible to withstand it, you should immediately consult a doctor. Pain syndrome may indicate an inflammatory process caused by embryo particles remaining in the uterus.
• Hormonal disbalance. Immediately after conception, a woman’s hormonal background begins to change. Pills disrupt the natural process of change. This can cause hormonal imbalance. “Down” hormones can subsequently lead to infertility, so the condition requires correction.

Additional factors

It's important to choose suitable method protection

Incomplete interruption. The procedure may not work full effect, if carried out on later time period allotted for medical abortion. Every week the fetus grows and “strengthens” its position. After rejection, embryo particles may remain in the uterus, which leads to inflammation, infectious diseases. Because of them, reproductive function may be lost. Incomplete rejection is usually indicated by severe pain and severe fever. Confirm incomplete interruption maybe an ultrasound. After diagnosis, curettage of the uterine cavity or vacuum aspiration is performed. Such procedures are an additional burden on the body and extreme stress for a woman.

It happens that the pills do not work: the pregnancy progresses. Doctors diagnose only 1% of such cases. If the patient insists on interruption, then they turn to invasive methods. Women who change their mind and want to continue the pregnancy should be aware that the drugs could have a teratogenic effect on the fetus. This means that there is a high probability of having a baby with disabilities.

Contraindications

Medical abortion has many contraindications, so not every woman can use this method. Only a doctor can determine contraindications to medical termination of pregnancy. He draws conclusions after examination, tests, and medical history. Contraindications include:

• ectopic pregnancy;
• acute infections of the genital organs;
• large fibroids;
• porphyria;
• anemia;
• poor blood clotting;
• long-term use of glucocorticoids;
• exhaustion;
• kidney disease;
• liver diseases;
• diabetes;
• lactation period.

Medabortion is truly the safest among modern methods termination of pregnancy. If you know at what period you can do it, then you don’t have to be afraid of a medical abortion: the likelihood of complications is minimal. There is no point in delaying the decision, otherwise you will have to resort to a surgical method, which is much more dangerous than medication and is much more difficult to bear psychologically.