Medical termination of pregnancy

Medical termination of pregnancy sometimes saves a woman from continuing an unwanted pregnancy. Scientists have been looking for a method of abortion without instruments for many years. Ukrainian gynecologists have been using medical abortion since 2004.

[ 1 ]

Preparing for a medical termination of pregnancy

Preparation includes a smear test for flora and intravaginal ultrasound to determine the gestational age and location of the ovum. It is also clarified whether the woman has any chronic diseases that may be contraindications for medical termination. Before the procedure, do not eat anything salty, fatty, or smoked; after a medical abortion, you cannot take a bath or go to the pool until everything is over. You cannot eat 3 hours before the termination and less than 2 hours after.

Effectiveness of medical termination of pregnancy

Medical termination of pregnancy manifests itself as more painful than usual periods. The effectiveness of termination is 95%. The advantage of medical abortion is that it does not require general anesthesia. You simply receive a pill and drink it in front of the doctor. After 72 hours, you go back to the clinic, where you are given a pill to contract the uterus. A day later, heavy bleeding begins.

[ 2 ], [ 3 ]

Timing of medical termination of pregnancy

Timing of medical termination of pregnancy: 5-6 weeks. Medical abortion is done after a full gynecological examination. Side effects: nausea, headache. Contraindicated in heart defects with severe heart failure, tuberculosis, hypertension and myoma, obesity and diabetes.

How does medical termination of pregnancy work?

Medical termination of pregnancy begins with a preliminary conversation between the woman and the doctor. She is informed about possible contraindications and complications and the essence of the method. Then they take blood tests for HIV, hepatitis, Rh factor and a smear for flora and do an ultrasound to clarify the term. The woman signs consent.

As for pain, it all depends on the period: the longer the pregnancy, the more intense the pain.

After a medical abortion, a woman is given contraception. Conception can occur immediately, so it is necessary to start using contraception immediately.

Stages

In any case, a woman goes through the following stages of medical termination of pregnancy:

• The woman calls the clinic and makes an appointment with the doctor, stating that she wants to have a medical abortion. She does not eat for 3 hours.
• During the appointment, the doctor does an ultrasound.
• You are warned about possible complications of the procedure and contraindications to it, and an introductory conversation is held.
• Together with your gynecologist, you choose one of the drugs produced in France or Russia.
• You may also be given tests if you have not had them done shortly before the interruption. The results are ready in 1 day.
• The drug is taken in the presence of a doctor.
• Within 72 hours, pain and discharge similar to menstruation appear.
• After the onset of pain and bleeding, prostaglandins are taken. Within 5 days, the fertilized egg comes out entirely.
• The next stage is a control ultrasound.

Remember that the vagina is a home for bacteria. That is why smears are taken before a medical abortion. Bacteria can enter the uterus when the cervix opens. Unfortunately, sometimes toxic shock occurs with a fatal outcome, but this is stubbornly hushed up.

Choose a clinic whose doctors have been performing medical abortion procedures for a long time. This will help reduce complications to a minimum.

Pills for medical termination of pregnancy

Pills for medical termination of pregnancy: Mifepristone, Mifegyne, Mifeprex, Mifolian, RU-486. The active ingredient in all of these drugs is Mifepristone. This is a complex molecule that has a complex effect on the female body, which is set up to maintain pregnancy. If the menstrual cycle was irregular before taking the pills, the problem may worsen.

Medical abortion is performed with drugs that include Mifepristone: Mifegin, Mifeprex, Mifolian, RU-486. Specialists always carefully prepare a woman for taking these drugs. The doctor discusses the patient's medical history, all the illnesses she has had or has had.

Mifepristone

Mifepristone blocks receptors for the hormone that maintains pregnancy.

Medical termination of pregnancy with mifepristone is better tolerated than surgery. Before the procedure, you confirm your awareness that in the future, a surgical abortion may be required due to incomplete removal of the ovum. After taking mifepristone, on the 2nd day you come to the clinic again and take another drug that expels the embryo within 1 hour. Bloody discharge continues for 10 days, after which you come for a control ultrasound. In isolated cases, diarrhea, dizziness and nausea are possible after taking the drug.

Mifepristone has the following contraindications:

• Pregnancy while using an intrauterine device.
• Scar after cesarean section.
• Leiomyoma.
• Kidney and liver failure.
• Blood clotting disorder.
• Anemia.
• Asthma.
• Diseases of the female reproductive system.

After the appointment, you may experience severe pain in the lower abdomen, dizziness, and vomiting. Your temperature may rise sharply. Do not take any painkillers or antipyretics - they can stop the abortion. You can take analgin or no-shpa as a last resort. It is better to call the doctor who performed the abortion. You will be given emergency phone numbers where you can get advice. If for some reason you cannot contact this doctor, in case of severe pain, constant vomiting, and fever, call an ambulance.

Mifegin

Medical termination of pregnancy with mifegin is an alternative to curettage. Unsuccessful outcome, incomplete extraction of the fertilized egg is possible in 5% of cases.

Mifegin is a progesterone antagonist. Under its influence, the uterine mucosa begins to be rejected. Abortion with pills is a serious intervention in the body, it cannot be called completely harmless.

The first visit to the doctor includes an examination on the chair, a consultation with the patient, signing the relevant paper - consent for abortion, ultrasound to confirm the period and the first intake of pills. The next visit should take place in 72 hours. During this visit, the fetus is expelled from the uterus by taking prostaglandin. In the clinic, you need to be under observation for 1.5 hours. If the pain is very severe, you may be given no-shpa. Short-term diarrhea is possible.

After 12-16 days, you need to do an ultrasound. If for some reason the pregnancy continues, a regular abortion is performed.

Between visits, you must not visit the sauna or drink alcohol.

Pencrofton

Medical termination of pregnancy with pencrofton is an alternative to surgical abortion. Advantages of medical abortion with the Russian drug pencrofton:

• Early termination of pregnancy on the second day after conception (for example, if you are a victim of violence).
• There is no risk of contracting hepatitis, as can happen during an abortion if the instruments are poorly sterilized.
• Lower cost.
• Scraping can cause a scar on the uterus or perforation, bleeding, which is life-threatening. This does not happen with pencrofton.
• Fertility is restored immediately.
• No anesthesia is needed.
• There is no need to go to hospital.
• The risk of depression after abortion is reduced.

The drug was developed in 1990. It expels the embryo from the uterus, opening the cervix. Termination of pregnancy with pencrofton is possible up to 7 weeks. It can only be used in clinics. The patient is given 3 tablets once, and she goes home. Then, after 72 hours, she is given a drug that expels the fetus, which has stopped developing during this time. After 16 days, an ultrasound is performed and curettage is performed if necessary (it happens rarely).

When taking pancrofton, there are minimal side effects, usually only nausea and a feeling of weakness, a slight increase in body temperature for 4 hours.

Misoprostol

Medical termination of pregnancy with misoprostol in Kyiv can be done in many specialized clinics. Misoprostol is a drug for termination of pregnancy of the latest generation. As a result of the work of the uterine muscles under its action, the expulsion of the fertilized egg occurs.

The method eliminates psychogenic trauma and is best suited for young girls who have not given birth.

Abortion after 1-15 days occurs in 65-85% of cases. Introduction of a prostaglandin analogue after 1-3 days increases this figure to 88-98%. The same results were obtained using Pencrofton. Thus, the optimal scheme for the procedure of medical termination of pregnancy today is 600 mg of mifepristone with the introduction of prostaglandins after 36-72 hours.

Duphaston

Duphaston is prescribed in the post-abortion period after medical termination of pregnancy. On the 16th day, after the ultrasound, Duphaston is prescribed 10 mg twice a day for 10 days. Duphaston is an active progestogen. It is used for a number of gynecological diseases. When taking it, there are no unwanted hormonal disorders. Duphaston does not affect liver cells and blood pressure.

Along with Duphaston, the gynecologist can prescribe you multivitamins or special vitamin complexes that are used in stressful situations. Abortion, surgical or medical, is stress for a woman. As a result, not only the nervous system but also the heart can suffer. Sometimes post-abortion psychosis develops. The first reaction is always relief. But then the woman often experiences remorse, her self-esteem decreases, on this day every year she can cry. Realizing what happened helps. You can mourn your child. The support of loved ones is very important, but, unfortunately, the husband cannot always understand why his wife suddenly became cold to him. The process of finally getting rid of the feeling of guilt can be long. Medical termination of pregnancy is usually easier for women, does not affect the state of mind so much.

[ 4 ], [ 5 ], [ 6 ]

Consequences of medical termination of pregnancy

The consequences of medical termination of pregnancy are mainly nausea, diarrhea and delay of menstruation up to 12 weeks, headache, chills, endometritis. Extremely rare side effects are Quincke's edema, uterine rupture and toxic shock. Toxic shock can lead to death.

Pregnancy is not interrupted in 3% of cases. Then curettage has to be done. As a result, inflammatory diseases can worsen, adhesions and infertility develop - not immediately, sometimes a woman gets pregnant and gives birth, but the inflammation worsens several times and leads to infertility.

During pregnancy, the nervous system is rebuilt. The body is set to carry the pregnancy. Medical termination of pregnancy artificially stops this process. That is why neuroses, the so-called post-abortion syndrome, are so common. Thyroid diseases are rarely associated with medical abortion, explaining everything by the Chernobyl accident. But in vain. The thyroid gland takes part in the regulation of hormones that support pregnancy, although not as obviously as the ovaries and pituitary gland. It is clear that people have an abortion out of despair, a sudden collapse of plans. But if you think about it, there are no safe abortions. Most of us have carious teeth, tonsillitis or rhinitis. These are infectious foci. After an abortion, done by any method, a woman's immune system is sharply weakened. Harmful bacteria from the vagina can get into the uterus. The risk of introducing an infection from the vagina is especially high, because it is located closest, but theoretically, the infection can enter the uterus through the bloodstream from any source in the body, even a carious tooth.

Of course, the listed consequences most often occur with surgical abortion. But even with medical abortion, the cervix opens when the fertilized egg is expelled. Infection easily penetrates through these gates.

To minimize the consequences, medical termination of pregnancy should end with a rest for your body. For a month, you can’t do sports, have any sexual intercourse, take a shower and don’t swim in open water, don’t go to the sauna, swimming pool, don’t take a bath earlier than 3 weeks after the medical abortion.

[ 7 ], [ 8 ], [ 9 ], [ 10 ]

Harm

The harm of medical abortion is due to the blocking of progesterone receptors. There is no injury to the uterus, so complications are much less common than with traditional abortion. A common complication is incomplete expulsion of the fetus (about 10%). Prolonged uterine bleeding is possible. There are known cases of toxic shock after taking "anti-pregnancy pills."

Complications

Rarely, but still possible to encounter serious complications after medical termination of pregnancy. First of all, this is the lack of effect of the drug or incomplete abortion. Also, menstruation may become irregular or very heavy. Allergies are possible. If any alarming signs appear, you should immediately seek advice from the clinic where the abortion was performed.

[ 11 ], [ 12 ], [ 13 ], [ 14 ]

Discharge

Discharge after a medical abortion is usually brownish, with blood, and often bothers even if heavy bleeding has already stopped. To remove all suspicions, be sure to visit a gynecologist and have an ultrasound scan 14-16 days after the abortion. If the discharge does not stop after a month and a half after a medical abortion, this indicates that there has been a failure in the hormonal system. To correct this condition, the doctor may prescribe oral contraceptives (mini-pills or combination).

You should also pay attention to yellow discharge. This may be a sign of purulent inflammation that developed due to the fact that you carried a dead child inside you for some time. Yellow discharge after a medical abortion may be a sign of the proliferation of E. coli.

[ 15 ], [ 16 ], [ 17 ]

Bleeding

Medical termination of pregnancy is considered the safest method, but this does not mean that it is harmless. Sometimes it happens that after an abortion there is heavy bleeding. It can lead to life-threatening blood loss. In this case, you need to lie down and call an ambulance, without hiding the fact that you had a medical abortion. It is considered normal to have a small amount of bleeding, no more than menstrual bleeding, until the onset of menstruation after a medical abortion. If you have to change more than one night pad within an hour, seek medical help.

[ 18 ], [ 19 ], [ 20 ], [ 21 ], [ 22 ], [ 23 ]

Pain

Pain after medical termination of pregnancy varies in intensity for each woman. It is caused by contraction of the uterine muscles. How severe the pain will be depends on the pain threshold and the gestational age. Painkillers for unbearable pain should be prescribed by a doctor, because many of these drugs can suppress the termination of pregnancy. Pain after medical abortion lasts for two days. Pain slightly more intense than normal menstrual pain is considered normal. Several menstrual cycles can also be painful. A gynecologist can prescribe you a course of physiotherapy or gynecological massage if the pain and bleeding are very intense and prolonged. To avoid the development of an infection in the uterus, a control ultrasound on the 16th day is mandatory, even if you have no complaints. Abdominal pain, fever, green and cheesy discharge - all these are signs of an infection. Medical termination of pregnancy, done according to all the rules, in three visits, rarely leads to such consequences. 98% of complications during medical abortion are associated with ignoring medical recommendations.

Temperature

The temperature after a medical termination of pregnancy usually does not rise above 37.5ºС and lasts no more than 4 hours. Temperature up to 37.2С can last for about 10 days. It is associated with increased progesterone levels. Delaying treatment of a possible infectious process in the uterus leads to infertility. Blood clots and fever, excessive bleeding should be a reason for conducting an ultrasound examination of the pelvic organs earlier than the doctor prescribed (usually 14-16 days after the termination). If a temperature and malaise appear after the abortion, call a doctor at home.

Nausea

Nausea after a medical abortion is not experienced by all women and does not last long. If you vomit within an hour of taking the medication, unfortunately, the pills will not work. You will be referred for a vacuum abortion.

If a woman is very bothered by pain in the lower abdomen, she may be prescribed No-shpa. Aspirin should not be taken. Cerucal can be taken for nausea. It has an antiemetic effect by blocking receptors. The maximum concentration of the drug is reached in 30 minutes. The half-life is 5 hours. The adult dose is 10 mg 3 times a day. Possible side effects: headache, increased fatigue, fear, tachycardia, skin itching. Contraindications: individual sensitivity, intestinal obstruction, epilepsy.

Recovery from medical termination of pregnancy

Recovery after a medical termination of pregnancy should include a number of activities. An abortion is a serious injury, no matter how it is performed. After a medical abortion, pay special attention to yourself for 2-3 months. Do not lift heavy objects. Ask your family to help you with cleaning. A gynecologist can prescribe procedures, gynecological massage. Be sure to visit a physiotherapy room if your doctor has advised you to do so. Vegetative-vascular dystonia and nervous disorders may progress after an abortion. Avoid stress and colds - medical termination of pregnancy weakens the body's defenses. Of all water procedures, only a shower is allowed for the first month and a half. Prevent constipation. Change your underwear regularly. Avoid significant strength training and sports during the first month. Sex can be had after the first menstruation after an abortion. Mifepristone is incompatible with alcohol. We also recommend doing a mammogram.

Sex

Since 1999, every second woman has had a medical termination of pregnancy. Unfortunately, these are statistics. Few women manage to do without abortions in their lives. Bloody discharge after this continues for another two weeks. Of course, you should abstain from sex during this time. The risk of inflammation increases if you do not follow this recommendation. The same applies to intimacy during menstruation.

Pregnancy

It is advisable to plan pregnancy after a medical termination of pregnancy no earlier than 3 months later. An earlier pregnancy has a high risk of complications. Medical termination of pregnancy in 95% of cases does not affect the possibility of conception in the future, you can get pregnant in the next cycle, so take care of contraception. After a medical abortion, the immune system is often impaired, so if you do not restore the body, you can catch some infection during pregnancy. Menstruation after a medical termination of pregnancy Menstruation after a medical termination of pregnancy is normally restored immediately. A delay of up to 20 days is considered normal. But in 70% of women, they come on time. If you experience severe cramping pain during your period after a medical abortion, you should consult a doctor - this happens if the embryo has not come out completely.

Alcohol

Medical termination of pregnancy and alcohol are incompatible. Alcohol reduces immunity. Therefore, you cannot drink alcoholic beverages for 2 weeks after an abortion. Alcohol also increases bloody discharge.

[ 24 ], [ 25 ]

Where can I have a medical termination of pregnancy?

In Kyiv, you can contact the URO-PRO medical center. Medical termination of pregnancy is done at 5-6 weeks. Another visit will be needed in 2 days. During these days, bleeding begins. After 16 days, a control ultrasound is done.

You can also have a medical abortion by contacting the Kyiv clinic "Demetra" (Pozniaky district). Here, colposcopy of the cervix and preventive examinations of women are also performed at affordable prices, treatment of STDs, menopause, menstrual disorders. Remember that with a latent course of diseases, there are no pronounced symptoms, such as bleeding and pain in the lower abdomen. Regular examinations help to avoid serious diseases, including oncological ones. A cancerous tumor never occurs on healthy tissue.

The center performs 300 types of tests. Here you can comfortably undergo rehabilitation after a medical abortion, and receive psychological help if necessary.

The Atlanta Medical Center is also located on the left bank of the Dnieper in Kyiv. Here you can undergo medical termination of pregnancy in the early stages (6-7 weeks). The center also treats sexually transmitted infections, gynecological and venereal diseases, and provides gynecological and general massage.

In the clinic "Klinitsi Doroslikh" on Lepse Boulevard in Kyiv, you can have a medical termination of pregnancy at an affordable price of 1200 UAH (ultrasound included). Here you will find understanding. The gynecologists of the center know that a woman of any age is not 100% insured against unwanted pregnancy, even if she takes contraceptive measures. A medical abortion performed by an experienced gynecologist will not affect health in any way. The procedure will be carried out according to all the rules prescribed in the protocol for conducting a medical abortion. The clinic uses Mifepristone, a drug that has long proven itself as a reliable and effective drug for medical abortion. It is well tolerated by women. After the end of bloody discharge, you must undergo another control ultrasound.

The Vemar Medical Center on N. Bazhan Street (Kyiv) has also proven itself well. Here, medical abortion is performed at an early stage – up to 42 days from the first day of menstruation. Normal uterine size, absence of an embryo on ultrasound and discomfort during a follow-up examination indicate a successful medical abortion. The clinic's doctors do everything possible to minimize side effects. The center's gynecologists also treat colpitis, vaginitis and inflammation of the uterine appendages, polyps and endometriosis. The center's urologist provides assistance in the treatment of kidney and bladder diseases, as well as inflammatory diseases of the prostate and sexual disorders in men.

As you can see, the choice of medical clinics that perform medical termination of pregnancy is wide. The method of medical abortion is considered by WHO to be the most gentle for women's health.

Reviews of medical termination of pregnancy

We have collected several reviews about medical termination of pregnancy. Many women not only use it when they want to terminate a pregnancy because they do not want to give birth right now, but also if they have already started a threatened miscarriage. Medical termination of pregnancy is an alternative to curettage. Surgical abortion can be a very strong trauma for both the reproductive system and the psyche. After it, despair, tearfulness and a feeling of guilt often arise.

Cost of medical termination of pregnancy

The price of medical termination of pregnancy in Kyiv clinics ranges from 1200 to 1500 UAH. This price includes ultrasound, consultation before medical abortion and the drug itself. You pay for tests separately.

We wish you that you will not have situations in life when you cannot keep the child. Medical termination of pregnancy is a serious, but sometimes inevitable step, it should be carried out under medical supervision in a medical center.