How to conduct medical abortion?

Because abortion often brings great pain to the body and mind, so many people have chosen medical abortion.

Medicinal abortion, as its name suggests, is an oral drug that terminates early pregnancy. It avoids some of the problems caused by surgical abortion. The total miscarriage rate has reached 90% to 95%, and if the miscarriage fails, the pain of re-operation is also lighter than that of abortion because the cervix has been opened without expansion. However, medical abortion also has its scope of application. Before women do medical abortion, they must first find out whether they are within this range.

Indications:

1. Termination of pregnancy without any contraindications for various reasons;

2. Suitable for high-risk pregnancies within 8 weeks of pregnancy, negative pressure evacuation surgery is difficult or high risk and need to terminate the pregnancy, but also suitable for women who have concerns or fear of surgical abortion.

Contraindications:

1. Glaucoma, asthmatic patients;

2. Heart, liver, kidney disease and adrenal sebum insufficiency; Although medical abortion has many advantages, but it also has its limitations and side effects, so it can not be like a cold fever, to buy a few slices of APC to pharmacy to eat as simple as possible, and in order to ensure the health of women The sale of abortion drugs in general pharmacies is strictly prohibited and medical abortion must be carried out in qualified medical institutions.

The general procedure for medical abortion is as follows:

(1) Strict screening before medication, including asking history, conducting a full physical examination and gynecological examinations, laboratory tests such as urine pregnancy test, vaginal cleanliness, trichomoniasis and mold, blood routine and blood type, and if necessary, B-ultrasound.

(2) The doctor explained in detail the medication method, the efficacy of the drug, and the possible side effects. The drug was available after the consent was obtained.

(3) Currently used dose: Mifepristone 150 ~ 200 mg, can be served in Dayton or graded in 3 days. On the third day, a prostaglandin preparation was added to the hospital: 1 mg of cardogestor was placed intravaginally or misoprostol 60O micrograms orally. Observed in the hospital for 6 hours.

(4) Monitoring during abortion: In addition to paying attention to blood pressure, pulse, and drug side effects during hospitalization observation, the discharged urine and feces need to be kept in a clean bedpan. The special person should check and record whether there is a fetal sac and its discharge time. Sac size and amount of bleeding. If there is active bleeding before and after expulsion of the fetal sac, the uterotonic or immediate curettage can be used to stop the bleeding.

(5) After 6 hours of observation, if the fetal sac is still not discharged, there is not much bleeding. You can go home and follow the doctor's prescribed date. If the tissue is discharged from home, it must be brought to the doctor for inspection.

3. With intrauterine device, pregnancy and suspicion of ectopic pregnancy;

4. After taking the medicine, it is best not to go to the hospital in time to see the doctor. It is best not to have a medical abortion, so as to avoid an emergency and not to go to the hospital in time and delay the illness.

If you decide on medical abortion, you should also be aware of a few things to note: First, medical abortion is only used to end intrauterine pregnancy. Be sure to do B-ultrasound before treatment, diagnosed intrauterine pregnancy, fetal sac size of about 1.0cm -2.5cm before taking the drug; Second, after the fetal sac discharge can take Motherwort granules to reduce the bleb residue caused by bleeding for a long time. In addition, oral anti-inflammatory drugs should also be used to prevent infection.