Even though highly effective contraceptive methods are accessible, a significant piece of all pregnancies is not planned (conceived accidentally, you can say!). Some of these pregnancies get ended moreover. Now and again, the mother’s body isn’t readied, while in a few, because of some ailments. Earlier, surgical methods were used: sharp or suction curettage in the first trimester.
Later, medical termination options came into play, which interferes with progesterone and induces uterine contractions that lead to abortion. Since medical termination’s efficacy is up to 9 weeks, their use has been increasing. Various doses, combinations, and routes of administration are in use. Ultrasound is used to confirm the location of the fetus inside the uterus.
Medical termination of Pregnancy
It is a comparatively new innovation compared to surgical ones. Medical professionals at Hisblue suggest that ‘Surgical abortion is only a “failure” in case a continuing pregnancy occurs; if a recurrent desire is needed for a fragmented fetus removal or hematometra’. Despite well-controlled conditions, surgical termination can be associated with surgical complications (trauma, heavier bleeding, infection), which can lead to further interventions. Also, since pregnancy is ended without any incision in your body, medical termination is an important alternative to those patients who try to avoid surgery or do not have access to a properly trained clinician in their locality. Some women prefer medical options as it feels more natural, like a miscarriage, and less invasive. However, medical abortion (that makes use of pills such as RU-486 and Misoprostol) is feasible for pregnancies of up to 10 weeks.
Progesterone is very important for maintaining early pregnancy. Clinically, inhibition of progesterone effects is often achieved by averting its synthesis or blocking its action at the receptor. These blocking agents work at the uterus and cervix during early human pregnancy with specific actions that make it potentially useful for abortion. This ends up separating the trophoblast from the maternal wall, eventually causing bleeding and a decrease in human chorionic gonadotropin (hCG) secretion into the maternal circulation. Later, these agents soften the cervix to allow expulsion.
Why to Even Abort?
Women with a wide variety of medical issues go for abortion services. The goal of these methods is to make it easy for ladies with medical conditions undergoing a first-trimester abortion. Chronic conditions such as diabetes mellitus, obesity, and hypertension are often fatal for the growing fetus. Women with more serious medical issues also seek medically assisted abortion techniques.
Such women may face an increased possibility of severe health problems during their gestation period. For instance, women with such preexisting cardiovascular diseases as cardiomyopathy face a higher risk of pregnancy-related morbidity and mortality than their healthy peers. Also, the number of pregnancy-related deaths related to cardiovascular conditions is increasing.
At the point when persistently sick ladies intend to end their pregnancies, motivated early termination care including exceptionally compelling postabortion contraception forestalls pregnancy-related horribleness and mortality. Clinical end of pregnancies in these cases can be useful, hence saving two lives at a once. Albeit, suitable patient choice is the essential precautionary measure for this technique.
The Process of Having A Medication Abortion
- Go for a medical consultation, which involves a thorough clinical assessment of relevant necessities and various tests related to the same.
- Opt for the best-suited method for you, as suggested by your doctor. Also, ask for any risks associated with it.
- After making the decision for medical abortion, you will have to fill a consent form containing relevant information about the expectations regarding the method, and pre-and post-abortion care.
- Discuss with your doctor for sort of pain relievers you have to take post-abortion and the dosage for the same.
- You will take a tablet of mifepristone and four tablets of misoprostol (buccally) approximately 24 to 48 hours later. The combination of these two medicines together is referred to as an MTP Kit (the abortion kit). These medicines block the action of progesterone.
- Abortion will follow some hours later, although in some cases it may take longer. Rest for a day or two.
- Be in regular contact with your doctor and discuss the changes you observe.
- You may observe nausea or vomiting after the second dose. This is a normal body response and nothing to panic about.
Subsequent to having an early termination, most ladies feel help, and that they settled on the choice that was appropriate for them at that point – especially in the event that they had upheld, and had the option to settle on a free and educated choice. It is essential to routinely visit your PCP for subsequent meet-ups to clean up your questions concerning the fulfillment of the method. You might be endorsed blood tests to check the chemical levels in your body. At times, even a little tissue staying in the uterus can be of high danger. You will require further help like tablets or surgeries to eliminate that piece.
- Surgical & anesthetic risks are avoided & the procedure is less painful than surgical abortion under local anesthesia.
- Can be completed even before the first signs of pregnancy are felt.
- Is less invasive than surgery (feels like a miscarriage).
- Is more private for women who fear people in society (procedure can occur at home).
- It is available in the first trimester.
Typical Side Effects or Risks Associated
- Unpredictable, irregular, or prolonged bleeding.
- A partial abortion is when part of the pregnancy is not discharged. You will need an in-clinic abortion to complete the abortion process.
- Blood clots in your uterus
- Dizziness or diarrhea for more than 24 hours after taking the pills
- Bad smelling discharge
- Medication abortions are generally more time-consuming and tedious than surgical abortions and there could be many doctor visits and tests.
- In a minute percentage of cases, the medication needs to be performed again, and sometimes a surgical procedure is required.
- Pain and bleeding generally, last longer than following a surgical abortion.
- It may take longer than expected (four to eight hours), after taking the second medication.
- A separate appointment is required if you would like an IUD inserted.
- Mifepristone is not suitable for a few women.
- Some women experience allergic reactions to medication containing mifepristone.