Medical abortion: how long can an abortion be performed?

Medical abortion (another name of the pharma-bort) is a relatively new way of aborting a pregnancy without the use of surgical intervention. This method is considered the safest for a woman's health, but when you can not do medical abortion?

Medical abortion is prescribed only in the early stages, up to 49 - 63 days of pregnancy. But for a guaranteed good result, it is more effective to carry out this procedure within a period of up to 28 days (4 weeks). At this stage of development, the fetal egg is still slightly associated with the uterus, so abortion is easier and the risk of a hormonal failure decreases. The efficiency of the pharmacy reaches 96%.

Medical abortion: up to what term it is possible to interrupt pregnancy ?

Doctors recommend up to 6-7 weeks. But for information about how long it is possible to interrupt pregnancy, you need to see a doctor. In some cases, individual nuances can.

The main advantage of this type of pregnancy termination is the absence of traumatic surgical intervention, which avoids many complications, the most dangerous of which are perforation of the uterus, the emergence of secondary infertility and infection of internal organs. During a medical abortion, patients usually do not need anesthesia, since the pain is about the same as with a monthly one. And the psychological trauma from medical abortion is not so pronounced.

Before a medical abortion, it is necessary to pass tests for the content of antibodies to HIV and RW in the blood, as well as a smear for the presence of pathogenic flora.

Lie down in the hospital for the procedure is not necessary. On reception at the gynecologist the woman receives tablets and leaves home. Then it will be necessary to come to the reception two or three more times, so that the doctor is convinced that the abortion was successful. And in case of complications, he could prescribe additional drugs.

But can all women do a pharmacological abortion? Of course, like any medical intervention, medical abortion has its own absolute and relative contraindications.

Absolute contraindications, when you can not do medical abortion are:

- intolerance of drugs used for medical abortion, allergic reactions to any of the means used, seen earlier.

- Many I ask before what term it is possible to interrupt pregnancy, in case of a choice of medical abortion, this term of 6-7 weeks.

- Diseases of the internal organs, in particular, problems in the work of the adrenal glands, since the drug used at the pharmacist, violates the action of hormones of corticosteroids. For the same reason, the contraindication to the procedure is a severe form of bronchial asthma, since for its treatment, drugs based on these hormones are used.

- Suspicion of ectopic pregnancy. When referring a woman to medical abortion, the doctor must make sure that the fetus is in the uterine cavity, so the procedure for ectopic pregnancy is not only useless, but also a threat to the life of the woman, in this case, a surgical operation is indicated.

  • severe anemia, hemophilia and other pathologies of blood clotting, since abortion is associated with great blood loss.

  • porphyria, a hereditary disease causing a disruption in the work of enzymes that affect the production of hemoglobin, in this disease, a great loss of blood is not desirable.

  • uterine myoma with nodes of large size, since this disease creates the risk of profuse bleeding.

  • inflammatory and infectious diseases of the female sexual sphere, including venereal diseases.

  • There are also relative contraindications to drug abortion, in the presence of these diseases caution should be exercised when using drugs that cause abortion.

    Such contraindications include breastfeeding, as the substances taken by a woman at a pharmacist affect the composition of breast milk. Therefore, before the procedure, it is necessary to express the milk, and do not breast-feed until the drugs are completely removed from the body. Although excretion occurs quickly, a break in feeding can be bad for milk production.

    Also, with caution appoint a procedure in the presence of scars on the uterus after cesarean section, in this case, the pharmacist is carried out exclusively in the hospital and in the early periods of up to 4 weeks.

    A relative contraindication is pregnancy, which occurred while taking hormonal contraceptives or with an intrauterine device. In these cases, the pharmacist is not recommended.

    The patient's smoking itself is not a contraindication to medical abortion, but in women over the age of 35 this harmful habit causes disruption of the blood vessels and blood system, which is a relative contraindication.

    Medical abortion, although considered to have no serious consequences by abortion, however, like any other medical manipulation can cause complications and side effects.

    In a number of cases, uterine contractions are very pronounced, the woman feels contractions, as during childbirth. To reduce pain, you should take painkiller, which the doctor will advise. There may be signs similar to poisoning, such as vomiting and diarrhea. If a woman vomited less than 2 hours after taking the drug, the procedure may be ineffective. Very rarely medical abortion is accompanied by fever, headaches and the appearance of a rash that looks like an allergic one.

    The most serious complication of the pharmacist is the incomplete termination of the pregnancy, when either the fetus continues to develop or the fetal egg or its particles remain in the uterus. In the first case, even if a woman changes her mind about having an abortion, it is very risky to leave the pregnancy, because the risk of developing pathologies in the fetus is too great.

    A serious complication is severe and prolonged bleeding. In all cases described, one has to resort to a surgical method of treatment.

    Medical abortion does not affect the fertility of a woman, and she almost immediately can become pregnant again. Therefore, it is extremely important, when renewing the sexual life, to carefully protect

    Women should remember that absolutely safe methods of abortion do not exist, in any case, gross interference in natural processes, does not pass without a trace for the female body.