Medical abortion (medicine) until the end of 9 weeks of amenorrhea

The article is professionally consulted by Master, Doctor Trinh Thi Thanh Huyen - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.

Every year in Vietnam, an estimated half a million abortions take place. In which, the method of medical abortion, also known as medical abortion until the end of 9 weeks of amenorrhea, is chosen by many people, but not everyone understands and can apply this method.

Medical abortion (medicine) until the end of 9 weeks of amenorrhea is a method of terminating an intrauterine pregnancy by using a combination of 2 drugs, Mifepristone and Misoprostol to induce spontaneous abortion, applicable to cases of pregnant until the end of 9 weeks (ie 63 days).

For the case of pregnancy to the end of 49 days (7 weeks)
Take 200mg of Mifepristone at a medical facility (should choose a reputable medical facility) and monitor after taking it for 15 minutes. Then, take orally or sublingually 400mcg Misoprostol 36 to 48 hours after taking mifepriston, either at a healthcare facility or at home.

For pregnancy from 50 to 63 days (9 weeks)
Take 200mg of Mifepristone. Sublingual 800 mcg Misoprostol (or can be inserted into the vagina) after taking Mifepriston from 36 to 48 hours, it is mandatory to do it at a medical facility and monitor at a medical facility at least 3 hours after taking it .

Absolute contraindications to medical abortion in the following cases:
Adrenal disease Long-term use of anti-inflammatory corticosteroids Cardiovascular diseases such as hypertension, mitral stenosis, occlusion of vessels blood in the body or have ever had a blood clot. Blood diseases such as clotting disorders, use of anticoagulants or when anemia is severe. Allergy to mifepristone or misoprostol. Circumstances in which a physician may consider using a medical abortion:
Nursing mothers Consideration for patients with IUDs. If an IUD is used, it must be removed before a medical abortion Has an acute infection of the genital tract that needs to be cured before the abortion

Using medication for an abortion will probably be painless. However, other complications of this method can occur and make the patient feel uncomfortable and dangerous including:
Prolonged bleeding leads to fatigue and anemia. At that time, depending on the situation, the doctor may be hospitalized for timely monitoring and treatment. Infections are very rare. When experiencing this complication, the patient may have fever, fatigue, chills, abnormal uterine discharge such as foul discharge, blood, and abdominal pain. At that time, it is necessary to be hospitalized for treatment with antibiotics and other supportive drugs.

Monitoring in the first hours after taking the drug
Need to monitor vital signs such as blood pressure, pulse, temperature once every hour for the first 3 hours. Vaginal bleeding, abdominal pain and symptoms caused by drug side effects such as vomiting, nausea, diarrhea, fever. Re-examine after 2 weeks to evaluate the effectiveness of medical abortion method
If the abortion is complete, end the course of treatment. When there is stillbirth, placental failure, stillbirth, misoprostol alone can be continued at a dose of 400 to 600 mcg orally or sublingually or by suction curettage. If the pregnancy continues to grow, the abortion should be performed. Blood stasis in the uterus: depending on the severity, it is possible to have medical treatment or aspiration to solve the problem. See also: Possible signs after a medical abortion

According to Obstetricians and Gynecologists, any abortion method has its limitations. Although medical abortion or medical abortion does not touch the "cutlery", it is not necessarily without risk of adverse health effects.
To ensure safety, absolutely do not arbitrarily use abortion pills at home. Because if using the drug without the supervision of a specialist, the person using the drug will be at risk of prolonged bleeding, causing blood loss, bleeding can still occur, even losing the ability to become a mother.
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