Help from a gynecologist during pregnancy (Sergiev Posad)

Medical abortion is the safest way to terminate an early pregnancy using pills.

This method allows you to remove the fertilized egg from the uterine cavity without using surgical instruments or cervical dilators. This eliminates the risk of damage to the internal genital organs. However, if a medical abortion is performed without the supervision of qualified doctors, the risk of developing dangerous complications is very high.

Medical doctors in St. Petersburg will help you understand how the procedure goes and what pills are used to terminate a pregnancy.

Help from a gynecologist during pregnancy

ATTENTION:
Online consultations with doctors (more than 18 specialties) are available.

Termination of pregnancy may be required in various situations - it may be unwanted or undesirable for health reasons. In order for the procedure to take place without consequences and with minimal health risks, many women resort to medical termination of pregnancy. It is carried out in the early stages of fetal development. This approach helps preserve a woman’s reproductive health.

Termination of pregnancy (medical abortion) at the Paracelsus clinic, Sergiev Posad

For medical abortion, our doctors use a combination of 2 drugs - Mifepristone and Misoprostol, which cause non-surgical termination of pregnancy for up to 6 weeks. They promote contractions of the uterus and expulsion of the fetus.

Due to the fact that only pills act on the woman’s body, the procedure is effective and safe. This type of abortion is gentle on both physical and psychological health.

A decision on pharmacological termination of pregnancy should be made only after consultation with a gynecologist and a comprehensive examination.

To exclude possible complications, a woman needs to determine the exact stage of pregnancy before the procedure. The rapid test does not provide reliable information, so the gynecologist refers the patient to an ultrasound scan of the fetus and takes a smear for flora.

What abortion pills are used in clinics?

Mifegin
In medical institutions, a gynecologist performs medical abortion. By contacting this specialist, the woman is diagnosed, the gestational age is determined, and sometimes recommendations are given on how to prepare for the procedure. In some cases, an abortion is performed on the day of visiting the doctor.

Abortion is carried out in two stages. At each stage, a drug of a certain group is taken.

What pills are used to terminate pregnancy at the 1st stage of pharmaabortion?

The woman takes the first pill under the supervision of a doctor in the gynecologist’s office. This drug belongs to the group of steroidal antigestagenic drugs. The main active ingredient is mifepristone. In Russia, this substance is produced under several trade names:

Mifepristone;
Mifegin;
Mytholian;
Miropriston;
Ginestril;
Gynepristone;
Genale;
Mytholian.

Depending on the content of the main active ingredient and auxiliary components, each drug has specific effects on the body. This is important to consider when choosing an abortifacient for the patient. Only a gynecologist can choose the right drug based on a preliminary examination. Most often, doctors combine several drugs to achieve results with minimal negative consequences for health.

The abortifacient effect of all antigestagenic drugs is provided by the main active ingredient - mifepristone.

Penetrating into the body, mifepristone acts in several directions:

Blockade of progesterone receptors.
One of the most important hormones that support pregnancy is progesterone. In the body of a pregnant woman, it is produced by the corpus luteum, which forms at the site of a burst follicle. By interacting with special receptors, progesterone stimulates the growth of the uterus and relaxes its walls. This is important for the attachment of the fertilized egg and preventing miscarriage. Mifepristone blocks progesterone receptors, which disrupts the mechanism of action of this hormone. This blockade promotes the rejection of the fertilized egg and stimulates contractions of the uterine walls. As a result of this mechanism, the woman begins to have an abortion.
Increased sensitivity of the myometrium to prostaglandins
. While taking mifepristone, the sensitivity of uterine tissue to prostaglandins, which are used in the second stage of medical abortion, increases.

After taking mifepristone, a woman should remain under medical supervision for at least 3 hours. At this time, the specialist monitors the patient’s physical indicators and condition. If the woman's health is satisfactory, she can go home. Over the next 36-48 hours, the patient may feel pain in the lower abdomen and notice bleeding similar to menstrual bleeding.

This is a normal reaction to the effects of mifepristone. Some patients do not have these symptoms, which is also considered normal.

What pills are needed to terminate pregnancy at stage 2 of pharmaabortion?

Mirolut
Within 24-48 hours after taking the first tablet, the patient must re-visit the gynecologist's office. The second stage of medical abortion begins with a survey and examination of the woman. The doctor is interested in the patient’s well-being. If no complications are observed, the specialist gives a second abortive drug.

The second drug is a synthetic analogue of prostaglandin. The main active ingredient of these drugs is misoprostol. They are produced under the trade names Misoprostol, Mirolut, Misoprostol-HPMC. In the second stage of medical abortion, these drugs are usually administered in the form of suppositories or vaginal tablets through the vagina. Less commonly, drugs are used orally.

The patient should be under medical supervision for 4–6 hours before and after taking misoprostol. If no complications are observed, she can leave the clinic.

How does the body react to the second pills?

The mechanism of action of a synthetic prostaglandin analogue is to stimulate contraction of the uterine walls and soften the tissue of the cervix. By the nature of the contractions of the uterine wall, the action of misoprostol is similar to contractions during childbirth. However, in the early stages of pregnancy, the patient does not feel such intense pain. Most women who have experienced a medical abortion compare it to menstruation.

The main reaction of the body to taking misoprostol is uterine bleeding. Its nature and duration differs in different patients:

In 5% of women who terminate a pregnancy at a very early stage, the fertilized egg is released after taking the first drug (mifepristone). In this case, misoprostol is used to complete the procedure of cleansing the uterine cavity. In this case, bleeding may be minor and short-lived.
In 80% of women, abortion occurs within 6 hours after taking a synthetic prostaglandin analogue. This manifests itself as profuse bleeding with noticeable large clots. They consist of tissue from the aborted fetus and areas of the endometrium.
In 10% of patients, the fertilized egg is released within a week after taking the second drug. Bleeding lasts 10-14 days.
In 5% of patients, medical abortion does not cause complete exit of the fetus from the uterus.

The timing of termination of pregnancy also depends on what pills gynecologists prescribe for abortion. An experienced doctor combines drugs in such a way as to reduce the risk of incomplete emptying of the uterine cavity.

Also, after taking misoprostol, many patients experience unpleasant symptoms from the digestive system. Such symptoms include abdominal pain, dyspepsia, flatulence, nausea, vomiting, diarrhea, and constipation. If these manifestations become unbearable for a woman, she should immediately consult a doctor.

How it goes

The medical abortion procedure consists of four visits to the gynecologist. The abortion procedure itself is carried out in 2 stages - the first and second appointments with a difference of 1-2 days. 2 weeks after the procedure you must visit a doctor.

First appointment

Before medicinal termination of an unwanted pregnancy, a woman is prescribed several examinations:

general analysis of urine and blood;
determination of blood group and Rh factor;
tests for syphilis and hepatitis B, C.

At the first appointment with a gynecologist, a woman receives information about available methods of terminating a pregnancy and receives a referral for psychological consultation. Before an abortion, the possibility of an ectopic pregnancy must be excluded.

If the examination reveals inflammation of the uterus or bacterial vaginosis, medical abortion is carried out in parallel with the prescription of antibacterial agents.

Second appointment

The second time the woman comes to the gynecologist, having finally decided on the procedure, she gives written consent.

The patient is given 1 dose of drugs - first Mifepristone, which has an antiprogesterone effect. Under its action, the cervix prepares for miscarriage. After taking one pill, the woman does not feel any changes in her body.

Third visit to the doctor

At the third appointment with the gynecologist, 24-48 hours later, the woman is given the second part of the pills, which directly provoke uterine contractions and miscarriage. The method of introducing the drug into the body depends on the period:

vaginally;
under the tongue;
orally - through the mouth.

95% of women experience bleeding within 3-4 hours after the second dose of the drug.

You can sign up for a medical termination of an early pregnancy in Sergiev Posad at the medical center.

Fourth technique

At a follow-up appointment with a gynecologist, the patient is examined on a gynecological chair and undergoes a control ultrasound of the pelvic organs. The examination is performed 2 weeks after the miscarriage. At this point, the uterine cavity is significantly reduced.

Contraindications to taking abortion pills

There is a general list of contraindications for taking any abortifacient drugs:

ectopic pregnancy;
pregnancy period is more than 7 weeks;
pregnancy while taking hormonal contraceptives;
renal and liver failure;
the patient's age is less than 18 years;
disorders of the blood coagulation system, vascular pathologies;
diseases of the female reproductive system - tumors of any nature, endometriosis, tissue inflammation;
allergies, intolerance to individual components of the drug;
epilepsy;
pulmonary pathologies – bronchial asthma, chronic obstructive pulmonary diseases;
diseases of the cardiovascular system - arterial hypertension, heart rhythm disturbances, chronic heart failure;
inflammatory diseases of the gastrointestinal tract - ulcers, colitis, gastritis.

Medication abortion drugs should be used with caution in women over 35 years of age, as well as in smoking patients. A comprehensive examination before the procedure allows you to accurately determine the gestational age and the place of attachment of the fertilized egg. Also, during a medical consultation, diseases of the genital tract and chronic diseases are excluded.

The risk of complications increases many times over, and the effectiveness of abortifacient drugs decreases if improper drug interactions are allowed. For example, it is unacceptable to use abortion pills and nonsteroidal anti-inflammatory drugs (NSAIDs) at the same time. Even seemingly harmless acetylsalicylic acid can change the effect of drugs.

The gynecologist will tell the patient about all the risks and features of using drugs for medical removal of the fertilized egg. If an unwanted pregnancy occurs during breastfeeding, the young mother should interrupt breastfeeding for 7-14 days. This is due to the penetration of abortifacient drugs into breast milk. To preserve milk during this period, it should be expressed regularly. You can feed the baby with a special formula at this time.

In addition, when the procedure is performed in a clinic, the woman receives a guarantee that the abortion will be completed. If for any reason it is not possible to achieve complete removal of the fetus from the uterine cavity, additional surgical curettage is necessary. In the case of home use of abortifacient drugs, the patient must pay for this procedure independently.

If the problem arose after a medical abortion, the completion of the procedure is carried out free of charge with maximum care for the patient.

Possible consequences

Despite the simplicity of pharmacological abortion, its consequences can be quite serious. They are associated primarily with the effect of drugs. They contain hormones that provoke various effects:

headache;
nausea, vomiting, diarrhea;
decreased immune defense of the body;
disruption of the microflora of the cervix, which can lead to inflammatory processes.

Common consequences of medical abortion include severe abdominal pain and bleeding. Due to severe hormonal imbalance in the female body, the consequences of a medical abortion can appear even several months after the procedure. It is important to regularly visit a gynecologist and conduct appropriate examinations.

What pills to buy for self-termination of pregnancy?

The content of the article

Woman drinking pills

Some women are convinced that if an abortion is performed using pills, they can perform it on their own, without contacting a gynecologist. This is a mistake that can cost the patient her health.

The only thing a woman can do on her own is to prevent an unwanted pregnancy. In addition to standard methods of contraception, emergency contraception, which is sold in pharmacies, can be used for this purpose. These drugs should not be confused with medication abortion pills. Emergency contraception does not cause abortion, but only prevents possible fertilization.

No abortion pills should be used without consulting a gynecologist. This can lead to the following consequences:

incomplete removal of the fertilized egg from the uterus, requiring surgical intervention;
the opening of severe uterine bleeding, with the risk of large blood loss;
development of an infectious-inflammatory process against the background of suppression of the normal microflora of the genital tract;
ineffective abortion due to the attachment of the fertilized egg outside the uterus;
development of life-threatening toxic shock syndrome;
menstrual irregularities due to hormonal imbalance;
disorders of the thyroid gland;
serious disorders of the digestive system - nausea, vomiting, abdominal pain.

A comprehensive diagnosis of the body before an abortion can reduce the risk of developing negative consequences. You can take any medications only after eliminating contraindications.

Advantages of the method

The main advantages of medical abortion:

high efficiency reaching 98%;
the ability to terminate pregnancy at an early stage;
lasts a few minutes and does not require complex preparation;
the woman does not need anesthesia;
no surgical intervention required;
the procedure eliminates cervical injury;
it is impossible to introduce infection into the internal genital organs of a woman;
the method is preferable for those who have not given birth before.

In rare cases, after a medical termination of pregnancy has already been performed, part of the fertilized egg remains in the uterus, which requires surgical intervention. However, with a thorough preliminary examination in the clinic, negative consequences can be avoided.

Medical abortion

Medical abortion seems to be such a simple procedure that it is completely unclear why a doctor is needed. Can't you just buy the pills and take them according to the instructions? Why do you have to go to the clinic and get tested? This is a fairly common question that will have to be answered seriously.

A little history

Researchers have long dreamed of creating the ideal product for safe abortion. After all, women often died from abortions - curettage of the uterus with a sharp curette is dangerous due to many risks: perforation of the uterus with injury to the intestines or bladder, bleeding, purulent-septic complications.

The idea of a “pregnancy pill” was wonderful: the doctor writes a prescription, the patient buys the medicine at the pharmacy and calmly terminates an unwanted pregnancy at home, without undergoing any intervention.

In the 1970s, a large-scale research program began in France to study hormonal and antihormonal drugs. Already in 1980, mifepristone was synthesized, which worked as an antiprogesterone that terminated pregnancy.

How it works?

Mifepristone blocks the action of progesterone at the receptor level. Deprived of its beneficial effects, the endometrium ceases to feel pregnant and is rejected along with the fertilized egg.