Early fetus removals are safe and require less care. It can be accomplished by abscission or through the use of an MTP kit. Medical abortion methods or abortion using a combination of drugs generally refers to early abortion, i.e., usually before 10 weeks of pregnancy. Generally, people also refer medical abortion to as labor-induced abortion. Medical abortion procedure requires the consumption of some pills and they are different from what people call an ‘under 72-hour pill’.
Why medical abortion is necessary?
Women who are suffering from any pre-existing medical conditions, and those who wish to terminate their ‘accidental’ pregnancy can opt for medical abortion. Depending on the age of the growing embryo and possible treatments available, medical abortion is considered as a better and safe option as and in contrast, surgical abortion fails if continuing pregnancy occurs. Some women simply try to avoid surgical complications, or they do not have proper access to a surgical provider. In all these conditions, medical abortion is superior to surgical abortion procedures.
Before getting an abortion
There are some things to discuss before you go for any medical abortion procedure:
- Please be sure whether you are ready for the procedure or not.
- Feel free to sit with your doctor and discuss associated risks and complications.
- Do check with the ultrasound results whether your pregnancy is under 10 weeks or it could be risky.
- Get tested for any sexually transmitted infections (STIs)
- Thoroughly read the consent form before signing and arrange a suitable appointment.
Medical abortion is a somewhat new-age innovation. Early medical abortion is the normal termination strategy for pregnancy of as long as 10 weeks, except if it’s anything but safe or alright for the client to perform a fetus removal at home. Medical abortion involves taking 2 unique medications to end the pregnancy. The age of the pregnancy, the medication doses, and administration, whether a lady has been pregnant before may affect the viability. The effectiveness rate diminishes for each extra seven days stretch of pregnancy. Medical abortion permits a lady to have a protected, viable early termination without an obtrusive surgery.
Progesterone sustains an early pregnancy. Without progesterone, the growing embryo is expelled by prostaglandin-mediated support. Inhibition of progesterone activity can be obtained by checking its synthesis or impeding its activity at the receptor present in the uterine wall. Mifepristone, a subsidiary of norethindrone, binds to the progesterone receptor with an affinity equivalent to progesterone itself. However, it doesn’t act upon the receptor, consequently going about as an antiprogestin.
STEP 1 – MIFEPRISTONE
The first drug is RU-486 (Mifepristone), which is used to stop the growth of the developing embryo and weaken its attachment to the decidua layer of the uterus. Most of the time this drug is taken in the clinic under supervision.
Mifepristone alters the uterus and cervical walls during the early stage of pregnancy. Firstly, it binds with the endometrium lining of the uterus and affects the capillary endothelial cells of the decidua. As a result, the trophoblast layer of the growing embryo gets separated from the decidua causing bleeding and also a decrease in human chorionic gonadotropin (HCG) in the maternal bloodstream. Lastly, the drug softens the cervix which eases the expulsion of the embryo.
You may experience nausea or spew in the wake of taking mifepristone. If you vomit within 1 hour of taking it, kindly inform your doctor straight away as you may have to take the pill once more. Most clients don’t have agony or bleeding until they take misoprostol. Bleeding can happen after taking mifepristone; however, it is generally mild. If bleeding happens, you should in any case consume the misoprostol.
STEP 2 – MISOPROSTOL
Placed in the vagina or in between cheeks or gum, the first dose of 4 tablets of misoprostol is taken in the clinic and 2 tablets are given for further administration after 3 to 4 hours of the first dose. It causes strong, painful cramps and heavy bleeding makes the uterus expel the pregnancy.
Usually, after 2 to 4 hours of using misoprostol, bleeding may start but sometimes may take longer. Almost all women expel the embryo within a few days. Once the abortion is complete, bleeding reduces. Although some women may observe mild bleeding for about 10-14 days which in rare conditions may continue till your next period.
Just seeing some blood clots or feeling cramps does not guarantee that the treatment has worked out or not. You can contact your doctor in case you do not observe any changes. Usually, an ultrasound after two weeks or a pregnancy test after 3-4 weeks confirms the successful abortion. You should get counseling about your thoughts about future pregnancy or fear of any adverse effects.