Medicine abortion refers to the use of injections or medication to achieve an abortion in the early stages of pregnancy without the need for surgery. The application of drugs to terminate pregnancy is the latest development in the last 20 years. At present, the commonly used drugs are mifepristone (Ru486) and prostaglandin combined application, the former make the uterine metaplasia degeneration and necrosis, cervical softening, the latter make the uterus contraction, prompting the discharge of the embryo. Medical abortion is simple, effective, non-invasive and avoids the complications that may result from manipulation into the uterine cavity. It is currently used to terminate pregnancies up to 8 weeks.

One of the advantages and disadvantages of medical abortion

Advantages to avoid the pain of surgical abortion and the occurrence of certain complications, to achieve the purpose of pregnancy to stop pregnancy, no pregnancy to promote menstruation.

DisadvantagesSome women have longer vaginal bleeding after an abortion, and a few may still need surgery to clear the uterus if the abortion is incomplete.

Second, who can use medical abortion?

Pregnant 5 to 7 weeks of healthy women, not suitable for surgical abortion, such as:

1. Cesarean section within one year, abortion within six months or a history of multiple abortions and pregnant, because the uterus has not yet fully recovered, surgical abortion is prone to injury and bleeding and other dangers.

2. Women who have been taking steroidal contraceptives for a long time or who are breastfeeding are prone to injury due to the thin, soft and fragile walls of the uterus, so it is best not to use surgical abortion.

3. Women with uterine deformities or extreme tilting of the uterus may have difficulty with surgery.

4. Women who are very afraid of surgery or who have had symptoms such as dizziness, panic, cold sweat and pallor during surgery.

Three, the drug method of anti-early pregnancy

Pharmaceutical abortion method must be under the supervision of the doctor to use drugs, if necessary, need to be hospitalized for observation. There are many methods of medical abortion, the following are two of the most commonly used and satisfactory results.

1. Use of Restorative Cain (Mifepristone) + Cargometrine suppository or other prostaglandin-based abortions.

One oral dose of Restoril or split doses for three days, and on the fourth day, vaginally place a Cargometrine pessary (or oral prostaglandins)

Observation for six hours, the rate of complete abortion is about 90%.

2.23 Visiting drug (R2323) + Cargometrine suppository against early pregnancy.

After 3 days of continuous oral administration of R2323, 1 capsule of Cargometrine pessary was placed vaginally on the 4th day and observed for 6 hours, the rate of complete miscarriage was about 90%.

Precautions:

●The person taking the drug must be conceived within 45 days of menopause and be under 34 years of age;

●Good physical condition with no contraindications. The so-called contraindications include: having suffered or suffering from serious systemic diseases, liver and kidney insufficiency, allergies, heart disease, high blood pressure, anemia, asthma, glaucoma, itchy skin during pregnancy, and suspicion of ectopic pregnancy, taking a large amount of medication for a long period of time, smoking 10 or more cigarettes a day, alcoholism, etc.;

●Take an ultrasound examination before taking the medicine to confirm that it's an intrauterine pregnancy;

●At least 3 days to 5 days of rest after abortion;

●Resting for at least 3 days to 5 days after abortion;

●After abortion, the patient must be in good health.

●After the abortion, rest for at least 3 to 5 days;

●Strictly follow the doctor's instructions, and follow up on time;

●Cannot take the medicine continuously;

●The hospital you choose to visit must be equipped with emergency conditions (can be an emergency scraping, transfusion of fluids and blood);

●Not to be taken as a commonly used contraceptive pill.

I. Precautions after medical abortion

1. After the tissue is discharged, you need to stay in the hospital for 1 hour. If there is not much vaginal bleeding, you can go home and rest.

2. After the abortion, rest for 2 weeks, eat nutritious food, do not do heavy labor.

3. Pay attention to perineal cleansing, vaginal bleeding is not clean, prohibit bath and sexual intercourse.

4. In the first two to three days after the abortion, the amount of vaginal bleeding is generally equal to or slightly more than the amount of menstruation, if the amount of vaginal bleeding is very large or continues to be unclean, we should consult the doctor in time.

5. Those who did not see the tissue discharge after the drug observation for 2 weeks, during the period of stool, urine should pay attention to whether there is tissue discharge. The urine should be sent for pregnancy test every week.

6. Ovulation may resume soon after the abortion, and contraceptive measures should be taken to avoid another pregnancy.

The causes and treatment of bleeding after medical abortion

Bleeding after medical abortion is usually in 1-3 weeks, the general performance is: bleeding is less than one day; if the bleeding is reduced and then increased or not reduced at all or gradually increased, are not normal, the common causes are as follows:

1. Incomplete abortion: the main reason for bleeding after medical abortion, generally through gynecological examination and ultrasound can be judged

2. Ultrasound can be judged

2. Post-abortion infection: if the ultrasound of the judgment is no residue in the uterus, then to consider the infection of the uterus, because the blood out of the abortion is a very good culture base for bacteria. If the situation is serious, there will be pressure and pain in the uterus during gynecological examination, and there will also be fever etc.

3. Bad blood coagulation function: some people tend to have ecchymosis or bruises after slight touching or pinching, so the blood coagulation function of this person may not be too good, and there may be hemorrhage or prolonged bleeding time during the medical abortion or the human abortion.

Treatment: because of the many reasons, it is best to go to the hospital to do a detailed examination to judge

How to have a medical abortion

Although the medical abortion has a lot of advantages, but it also has its limitations and side effects, and therefore it can not be as simple as a cold and fever, buy a few tablets of APC to eat in a pharmacy by yourself, and in order to ensure that women's health, the sale of medicines for abortion in the general pharmacy is strictly prohibited. Those who have a medical abortion must do so in a medical institution that is equipped to do so.

Can you do your own abortion at home

In the past, women of childbearing age have been praying for a safe and reliable method of stopping pregnancy after contraception fails, and nowadays there are oral abortifacient drugs, such as mifepristone and misoprostol, which are very effective and popular. However, if the application is not appropriate, serious side effects and complications can occur, so it should not be taken lightly.

Mifepristone, also known as polyphenols or Ru486, is a new type of anti-progestational hormone drug that can induce abortion and terminate early pregnancy. The effective rate is 65% to 85% when applied alone, while the success rate (i.e. complete abortion) can be as high as 95% or more when combined with misoprostol. It is suitable for pregnant women within 49 days of menopause with a positive urine pregnancy test, and the shorter the gestation period, the better the effect. However, it is contraindicated in pregnant women with asthma, spasmodic bronchitis, angina pectoris, arrhythmia, heart failure, hypertension, glaucoma and hepatic or renal insufficiency, ectopic pregnancy, ulcerative colitis, adrenocortical insufficiency, long-term use of glucocorticosteroids and insulin-dependent diabetes mellitus.

General application of mifepristone and misoprostol, about 2 to 3 days, the uterine cavity of the embryonic sac can be discharged, at this time the vaginal bleeding is more, there can be dizziness, nausea, vomiting, fatigue, abdominal pain and other reactions, and the uterus of the meconium tissue is often about 2 weeks to be slowly discharged, followed by the bleeding stops, which is known as a complete miscarriage, so it is stipulated that pregnant women in the medicinal abortion after the first 15 days to the hospital to re-examine. If necessary, ultrasound examination and urine pregnancy test to determine the effect of abortion. If there is no abortion within 1 week after taking the medicine, or vaginal bleeding increased significantly in about 10 days, and more than 3 weeks to 1 month still bleeding, then you should go to the hospital in time for a review of the failure of abortion or incomplete abortion, the need for abortion or scraping surgery.

However, some pregnant women do not understand the advantages and disadvantages of the drug, resulting in a dangerous situation. Such as a pregnant woman at home on their own medication abortion, the beginning of the embryonic sac is not discharged, but in the fourth day of a sudden abdominal pain, pale, shock, diagnosed by the doctor as an ectopic pregnancy, thanks to the rescue in time to be safe; another pregnant woman in the hospital for the medication abortion, but anxious to get out of the hospital, the results of the hemorrhage on the way back to the home, had to rush back to the hospital for emergency surgery to scrape the uterus, and then turn to be safe; there is also a pregnant woman in the medication abortion, the vagina continues to bleed for more than 40 days. The first time I saw this, I was in the middle of the night, and I was in the middle of the night.

What needs to be emphasized is that many women, especially unmarried women, there is often a misunderstanding that the drug abortion is like a menstrual period in general, will not affect the health, so do not pay attention to take effective contraceptive measures, once the discovery of the pregnancy will be asked to the drug abortion, and some of the two or three times a year, will obviously damage the body.

It can be seen that abortion is not a regular method of contraception, but only as a remedial measure after the failure of contraception in the event of an unplanned pregnancy. And must be in the conditions of the hospital, under the supervision and guidance of the doctor, do not take the liberty of pregnant women at home to take medication abortion, or the consequences are unimaginable.

Self-conditioning after abortion

With the development of obstetrics and gynecology, artificial methods to terminate pregnancy as a contraceptive failure of the remedial measures and widely used in clinical practice, in particular, the popularization and application of the new anti-early pregnancy drug mifepristone, and in the abortion of the Chinese medicine treatment, reducing the pregnancy product discharged due to the vaginal bleeding and prolongation of the bleeding time of the side-effects of the poor discharge, reducing the rate of clearance , greatly reducing the pain of the subjects. The author engaged in clinical work for many years, y touched by many abortion (especially in recent years the use of medicinal abortion) patients, abortion does not pay attention to regulate recuperation, thus affecting the physical and mental health.

Postpartum regimen is well known and has always been emphasized, but the importance of the regimen after the abortion is often overlooked. The drug abortion is the use of drugs to force the separation of the pregnancy and the uterus, the damage to the body is more obvious than the full-term delivery. Ming Dynasty physician Xue Lizai also pointed out: "Miscarriage is heavier than the big birth, cover the big birth such as corn ripe since off; Miscarriage is like a raw picking, break its shell, hurt its roots also". The pain caused by abortion is imaginable. Therefore, now gynecologists pay attention to the rest after abortion, that the rest after abortion should be heavier than after the big birth.

Under normal circumstances, early pregnancy medication after abortion, vaginal bleeding of varying degrees, 3-5 days or 7-10 days clean. Generally will not bring major impact on the body. However, if repeated pregnancies and repeated abortions, or improper regulation can also cause many complications. The reasons are: First, where abortion abortion, there is no one who does not damage the uterus. Improperly regulated, too much fatigue or indiscreet sexual intercourse, easy to injure Chong Ren, the uterus is more difficult to recover. Secondly, after abortion, the blood room is open, neglecting to regulate, do not keep the vulva clean, the evil venom is easy to offend. Third, after the miscarriage, the Chong Ren of the ready damaged, the uterus of the residual blood and turbid liquid stays, "protect the fetus with the things" within the stagnation, resulting in vaginal blood, more than a long time to flow, the treatment of the regulation is not appropriate, and often lead to "pelvic infection," and many other complications. Therefore, it is especially important to take care of after the abortion.

Regulation of labor and leisure: With the accelerated pace of life, many professional women, especially unmarried pregnant, often give up rest time after abortion. The author often asked such clinic patients, why do not follow the doctor's advice after the drug abortion, no rest, they always laugh it off, or that the work can not be separated, or that the damage is small, no big deal. I have come across a car driver out of Zu, four abortions in two years (two of which are medicinal abortion), *** rest less than 10 days. Now weak and sickly, colds at every turn. This shows that after the abortion must follow the doctor's advice to rest and recuperate, avoid excessive labor.

The appropriate cold temperature: after the abortion coupling is not dense, the wind and cold is easy to invade, do not greedy cold drink cold. "Summer months avoid cold fan, eat cold things, when the wind sleep; summer room storage of one or two tanks of water, to solve the heat; winter plus one or two pots of fire, to get warm ("to protect the birth of the spirit").

Precautious diet: after abortion, the loss of blood and qi, too much food and greasy cold, easy to hurt the spleen and stomach. You should eat nutritious and easy-to-digest food, and you can also use appropriate prescriptions or medicinal diets according to your body's preference for heat or cold. The following prescription can be used:

1, Yi Gong drink: Codonopsis pilosula, chasteberry, dry lotus grass, cress, motherwort 15 grams each, atractylodes macrocephala, Pu huang charcoal 12 grams each, licorice 3 grams. Soak in cold water for 30 minutes, decoct 150￣200 ml of juice, twice divided into doses, 1 dose per day. It is suitable for those who have more than vaginal bleeding after abortion.

2, brown sugar motherwort soup: brown sugar 60 grams, motherwort 30 grams. To motherwort decoction juice, punch into the brown sugar, divided into 2 times to take. Applicable to the stasis of excessive blood.

3, ginseng and astragalus cream: 60 grams of ginseng, 500 grams of roasted astragalus, 500 grams of syrup. The first two flavors repeatedly decocted 2 times, filtered juice 200 ml, into the caramel, the fire concentrated into a paste, storage. 3 times a day, 20 grams each time, boiled water. Applicable to qi deficiency, under the blood color pale and thin.

If the symptoms are obvious, such as fever, abdominal pain, prolonged blood, or blood odor, etc., should go to the hospital for appropriate diagnosis and treatment.

Medicine abortion is forbidden

Because abortion tends to cause a lot of pain both physically and mentally, many people opt for medication abortion.

Medicinal abortion, as the name suggests, is a method of terminating early pregnancy by taking oral medication. It avoids some of the problems associated with surgical abortion, and the rate of complete abortion has reached 90%-95%, and if the abortion fails, then the pain of surgical removal of the uterus is also lighter than that of artificial abortion, because the uterus is already open and does not need to be dilated. However, the drug abortion also has its scope of application, women in the drug abortion before, must first find out whether they are within this scope.

Indications:

1. Those who require termination of pregnancy for various reasons without contraindications;

2. Suitable for high-risk pregnancies within 8 weeks of gestation, those who need to terminate the pregnancy with difficulty or high risk of negative-pressure suction, and those who are apprehensive or fearful of surgical abortion.

Contraindications:

1. glaucoma, asthma patients;

2. heart, liver and kidney disease and adrenal sebaceous insufficiency;

3. with intrauterine device, pregnancy and suspected of ectopic pregnancy;

4. after taking the medicine can not go to the hospital in time to consult the best not to use the drug abortion, so as to avoid emergency can not go to the hospital in a timely manner and delayed the condition. The first is that the person who is not able to go to the hospital after taking the medicine should not use the medicine.

If you decide to have a medical abortion, then you should also know some precautions: first of all, medical abortion is only used to terminate intrauterine pregnancy. Before using the drug must do ultrasound examination, confirmed diagnosis of intrauterine pregnancy, the size of the fetal sac is about 1.0cm-2.5cm before taking the drug; secondly, after the discharge of the fetal sac, you can take motherwort punch to reduce the membrane residue caused by the bleeding of a long time. In addition, anti-inflammatory drugs should be taken orally to prevent infection.

The general procedure of medical abortion is as follows:

(1) Strict screening before the use of medication, including medical history, general physical examination and gynecological examination, laboratory tests, such as urine pregnancy test, vaginal cleanliness, trichomonas and mycobacteria, blood routine and blood type, and ultrasound examination if necessary.

(2) The doctor will explain in detail the method of taking the medication, the efficacy of the medication and the possible side effects, and ask for consent before administering the medication.

(3) Currently, the usual dosage of mifepristone is 150 to 200 milligrams, which can be taken at once or in divided doses over 3 days. In the hospital on day 3, add a prostaglandin preparation: Cargometrine 1 mg placed intravaginally or misoprostol 60O micrograms orally. Observe for 6 hours in the hospital.

(4) Monitoring during abortion: In addition to paying attention to blood pressure, pulse and side effects of medication during hospitalization, all urine and feces should be retained in a clean bedpan, and the presence of fetal sacs and the time of their expulsion, the size of the fetal sacs and the amount of bleeding should be examined and recorded by a special person. If there is active bleeding before or after the expulsion of the fetal sac, contractions can be given or the uterus can be scraped immediately to stop the bleeding.

(5) After 6 hours of observation, if the fetal sac is still not expelled and there is not much bleeding, you can go home and follow up on the date set by the doctor. If the tissue is expelled at home, it must be brought to the doctor for observation.