How early can a pregnancy be terminated

The Abortion Pill | Get the Facts About Medication Abortion

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The Abortion Pill
How does the abortion pill work?
What can I expect after I take the abortion pill?
How do I use the abortion pill?

How safe is the abortion pill?
How do I get the abortion pill?
How much does the abortion pill cost?

The Abortion Pill | Planned Parenthood Video

What is the abortion pill?

Medication abortion — also called the abortion pill — is a safe and effective way to end an early pregnancy.

How does the abortion pill work?

“Abortion pill” is the common name for using two different medicines to end a pregnancy: mifepristone and misoprostol.

First, you take a pill called mifepristone. Pregnancy needs a hormone called progesterone to grow normally. Mifepristone blocks your body’s own progesterone, stopping the pregnancy from growing.

Then you take the second medicine, misoprostol, either right away or up to 48 hours later. This medicine causes cramping and bleeding to empty your uterus. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. If you don’t have any bleeding within 24 hours after taking the second medicine, call your nurse or doctor.

Your doctor or nurse will give you both medicines at the health center. When and where you’ll take them depends on state laws and your health center's policies. Your doctor or nurse will give you detailed directions about where, when, and how to take the medicines. You may also get some antibiotics to prevent infection.

How effective is the abortion pill?

The abortion pill is very effective. The effectiveness depends on how far along you are in your pregnancy when you take the medicine.

For people who are 8 weeks pregnant or less, it works about 94-98 out of 100 times.
For people who are 8-9 weeks pregnant, it works about 94-96 out of 100 times.
For people who are 9-10 weeks pregnant, it works about 91-93 out of 100 times. If you're given an extra dose of medicine, it works about 99 out of 100 times.
For people who are 10-11 weeks pregnant, it works about 87 out of 100 times. If you're given an extra dose of medicine, it works about 98 out of 100 times.

The abortion pill usually works, but if it doesn’t, you can take more medicine or have an in-clinic abortion to complete the abortion.

When can I take the abortion pill?

Depending on where you live, you may be able to get a medication abortion up to 77 days (11 weeks) after the first day of your last period. If it has been 78 days or more since the first day of your last period, you can have an in-clinic abortion to end your pregnancy.

Why do people choose the abortion pill?

Which kind of abortion you choose all depends on your personal preference and situation. With medication abortion, some people like that you don’t need to have a procedure in a doctor’s office. You can have your medication abortion at home or in another comfortable place that you choose. You get to decide who you want to be with during your abortion, or you can go it alone. Because medication abortion is similar to a miscarriage, many people feel like it’s more “natural” and less invasive.

Your doctor, nurse, or health center staff can help you decide which kind of abortion is best for you.

How Does the Abortion Pill Work?

In This Section

The Abortion Pill
How does the abortion pill work?
What can I expect after I take the abortion pill?
How do I use the abortion pill?

How safe is the abortion pill?
How do I get the abortion pill?
How much does the abortion pill cost?

The abortion pill causes cramping and bleeding that can last several hours or more. You can be at home, or wherever is comfortable for you. Plan on taking it easy for the day.

What do I need to do before I take the abortion pill?

Before you take the abortion pill, you’ll meet with your nurse, doctor, or health center staff to talk about whether abortion is the right decision for you, and what your abortion options are. You’ll get an exam and lab tests, and you may get an ultrasound to figure out how far into your pregnancy you are.

Your nurse or doctor will let you know if there’s anything else you need to do to prepare for your abortion. They’ll give you written instructions on how to take your pills. You will have access to a caring professional through the process — you’ll get a number you can call 24/7 if you have any questions or concerns.

You’ll have a lot of bleeding and cramping after you take the second medicine, so plan ahead to make the process more comfortable. You can be at home, or wherever is comfortable for you to rest. You may also want to have someone you trust with you (or nearby) that you can call for support if you need anything.

Stock up on maxi pads, food, books, movies, or whatever you like to help pass the time, and a heating pad for cramps. Make sure you have some pain medicine — but don’t take aspirin because it can make you bleed more.

What happens during a medication abortion?

The abortion pill process has several steps and includes two different medicines.

First, you take a pill called mifepristone. This medicine stops the pregnancy from growing. Some people feel nauseous or start bleeding after taking mifepristone, but it’s not common. Your doctor or nurse may also give you antibiotics to take to prevent infection.

The second medicine is called misoprostol. You’ll either take the misoprostol right away, or up to 48 hours after you take the first pill — your doctor or nurse will let you know how and when to take it. This medicine causes cramping and bleeding to empty your uterus.

For most people, the cramping and bleeding usually starts 1-4 hours after taking the misoprostol. It’s normal to see large blood clots (up to the size of a lemon) or clumps of tissue when this is happening. It’s kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage. (If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor.)

The cramping and bleeding can last for several hours. Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2 more days.

You can take pain medicine like ibuprofen about 30 minutes before you take the second medicine, misoprostol, to help with cramps. You can also take anti-nausea medicine if your doctor or nurse gives it to you. Don’t take aspirin, because it can make you bleed more.

It’s normal to have some bleeding and spotting for several weeks after your abortion. You can use pads, tampons, or a menstrual cup — whatever's the most comfortable for you. But your nurse or doctor may recommend you use pads for the first few days after the abortion so you can track how much you're bleeding.

The last step is a follow up with your nurse or doctor. You may go back into the health center for an ultrasound or blood test. Or you’ll get a pregnancy test to take at home, followed by a phone call with your nurse or doctor. These tests will make sure the abortion worked and that you’re healthy.

In the unlikely case that the abortion doesn't work and you're still pregnant, your doctor or nurse will discuss your options with you. You may need another dose of medication or to have an in-clinic procedure to complete the abortion.

How does a medication abortion feel?

For most people, medication abortion feels like having an early miscarriage. You might have:

lots of cramping and aches in your belly
very heavy bleeding with large clots (If you don’t have any bleeding within 24 hours after taking the second medicine, misoprostol, call your nurse or doctor. )
an upset stomach and vomiting (Your doctor or nurse may give you medicine to help with nausea.)
diarrhea
dizziness
tiredness
mild fever (99-100° F) or chills on the day you take the misoprostol (If you have a fever after the day you take the misoprostol pills, call your doctor or health center right away.)

To help ease pain and make you more comfortable, you can:

Take pain medication like ibuprofen (Advil or Motrin). Don’t take aspirin because it can make your bleeding worse.
Put a heating pad or hot water bottle on your belly.
Take a shower.
Sit on the toilet.
Have someone rub your back.

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Medical termination of pregnancy in the early stages in Nizhny Novgorod at the Tonus clinic, medical abortion, mini abortion

Termination of pregnancy is an important step in the life of a woman who is going to do this. It is important to think carefully about everything, and also, to choose a clinic where you would like to have an abortion. After you have made up your mind, the question arises, where to have an abortion? Not all clinics are licensed to perform abortions, so if you want to do abortion, clinic , in which it will be performed, must have the appropriate permission.

In our country, at her own request, a woman can have an abortion for up to 12 weeks. There are also various indications for termination of pregnancy. Abortion for social reasons a woman can do up to 22 weeks, for medical - at any stage of pregnancy.

Abortion in this case is performed after determining the indications for it by a gynecologist and related specialists. The reason for termination of pregnancy for medical reasons can be both a serious pathology on the part of the woman and on the part of the fetus. Only a competent and experienced gynecologist will help you decide on the choice of the method of abortion - medical, mini-abortion or surgical. nine0007

The best is early termination of pregnancy . Early termination of pregnancy reduces the risk of complications in the future and can be carried out without the use of invasive techniques.

Early termination of pregnancy. Medical abortion

Medical abortion is one of the safest methods and an excellent alternative to surgical abortion. Medical abortion is performed up to 6 weeks of pregnancy. When holding medical termination of pregnancy in the early stages, drugs are used that, by their mechanism of action, inhibit the synthesis of progesterone.

Medical abortion is performed only under the strict supervision of a gynecologist. After medical termination of pregnancy, an ultrasound scan is required to examine the uterine cavity.

Early termination of pregnancy by medical abortion method does not impair the woman's reproductive function. According to many studies, after medical termination of pregnancy, ovulation is restored in the shortest possible time. An additional positive quality of medical abortion is the possibility of its implementation directly on the day of treatment. nine0007

Early termination of pregnancy - mini-abortion

Mini-abortion as a method of early termination of pregnancy can be performed from 6 to 12 weeks. The main technique for mini-abortion is vacuum aspiration. The fertilized egg is removed from the uterine cavity using a special electric suction. This option for early termination of pregnancy is more gentle than the standard options for surgical abortion.

We must not forget that the sooner have an abortion , the lower the risk of complications.

The procedure takes about 5 minutes and the woman can go home within a few hours after the procedure. The uterine mucosa, unlike curettage, is slightly injured. A contraindication to abortion in this way is the presence of infection in the acute period. After the mini-abortion, a control ultrasound examination of the uterine cavity is performed.

Where to have an abortion? nine0021

Many women (especially young women), in order not to advertise their pregnancy, start looking for options, where to have an abortion . It must be remembered that it is most correct to have an abortion in a clinic, under the supervision of specialists, and not with the help of folk remedies.

An abortion made outside the walls of a medical institution that has the right to perform this manipulation is called criminal. A self-performed abortion by untested means can lead to serious consequences. In this case, a woman risks not only the possibility of having children in the future, but also her health. nine0007

Medical abortion

Termination of pregnancy by indications or at the request of a woman for a period of 6 to 12 weeks can be performed by curettage of the uterine cavity. This procedure is a surgical procedure and requires preparation. As with any other operation, all the necessary tests are given. Termination of pregnancy is carried out on an empty stomach, as the woman is given anesthesia.

In the postoperative period during the month you need to refrain from sexual intercourse, do not go to the sauna, bath, bathing in water, it is not recommended to take a bath. All these measures are aimed at preventing infection. nine0007

It is also not advisable to overcool, be subjected to excessive stress and physical exertion for some time. It is necessary to give the body a rest, so that in the future there will be no problems with conception.

After the abortion, it is necessary to visit a gynecologist. During the appointment, the doctor will conduct a comprehensive examination with obligatory ultrasound control, as well as select the optimal method of contraception, which will help to avoid unwanted pregnancies in the future, and therefore new abortions. A large number of abortions brings with it a large number of complications that can affect the reproductive potential of a woman. nine0007

Psychological support for a woman is also important, both before and after an abortion. The doctor in this case should be not only a competent specialist, but also a sensitive psychologist who can encourage the patient.

A great role is given to conversations with a woman, since she must understand that the doctor is on her side and in no case condemns the perfect act.

Within a month after the abortion, women should monitor their well-being.

If you experience pain, bleeding, fever or other unusual phenomena, you should definitely visit a gynecologist for a comprehensive examination and identify the cause of the symptoms. nine0007

Where to have an abortion in Nizhny Novgorod?

Termination of pregnancy in Nizhny Novgorod is performed by experienced specialists at Tonus Medical Center. It is possible to carry out manipulations at various stages of pregnancy. An abortion performed at Tonus Medical Center is a safe procedure carried out by highly qualified doctors who choose an individual approach to each woman and provide reliable medical care.

You can make an appointment at the Center for Obstetrics and Gynecology by calling 8 (831) 411-11-22 nine0007

Termination of pregnancy (abortion)

Contents

How long can an abortion (abortion) be done? If earlier abortion was performed only with the help of surgical intervention, today women have access to a medical and vacuum method.

These are safer methods of abortion, but they can only be used for certain periods. nine0007

Terms of termination of pregnancy:

- medical termination of pregnancy in the Russian Federation can be done before the 6th beginning of the 7th week of pregnancy or 42nd delay of menstruation;

- vacuum abortion can be done from 2-3 weeks to 12 weeks of pregnancy.

- more than 12 weeks can be done for medical reasons with a surgical method.

Legislative framework for the timing of abortions

Legally, termination of pregnancy is allowed up to 12 weeks of pregnancy at the request of a woman, and if the period is higher, then for medical reasons at any time, if there is a threat to the life of the fetus-mother or defects incompatible with life. On the basis of Order 572 and Federal Law 323, an algorithm and requirements for performing artificial termination of pregnancy were approved. For medical abortion in the Russian Federation, drugs are registered that are not sold in pharmacies, but are supplied to medical institutions that have the appropriate license to provide this type of service. Abortion pills are used strictly according to the instructions for drugs according to the approved scheme and are prescribed only by a gynecologist. nine0007

Is it possible to have an abortion on the same day?

This question is often asked by women when making an appointment with a gynecologist in a medical institution. Let's take a closer look. Returning to the law on artificial termination of pregnancy, which states that during the initial visit to a medical institution, an ultrasound is done to determine the gestational age. If the period is 4-7 weeks, the silence time is 48 hours, i.e. time to make a final decision and reapply the woman for the interruption service. At this time, the woman is sent for a consultation with a psychologist, or a gynecologist can conduct the same conversation. For a period of 8-10 weeks - the time for reflection is at least 7 days, for a period of 11-12 weeks - at least 48 hours. nine0007

Safe terms

Abortion is a complex surgical intervention that can have many consequences for women's health. Often, termination of pregnancy leads to infertility. In order for an abortion to take place with minimal risks, one should carefully approach the choice of a medical institution and a doctor. In our Clinic "Narvskaya" there are doctors with extensive experience who individually solve the problem of each patient. Specialists help to choose the best way to terminate a pregnancy, focusing on the term, health status, anamnesis, the presence of children, etc. All manipulations are carried out at the modern level in absolutely sterile conditions. And if this is still an unwanted pregnancy, it is necessary to resort to the method of interruption as soon as possible, due to the fact that the longer the period, the greater the number of complications can be. But the best solution would be to keep the pregnancy. But this is decided only by the woman herself and no one has the right to condemn her for this. After termination of pregnancy, the doctor prescribes rehabilitation courses for reproductive and menstrual functions. Following the doctor's recommendations will help maintain the health of the reproductive system and take care of future childbearing. Also, the specialist is ready to advise on modern methods of contraception that are right for you. nine0007

Terms for medical abortion

Medical abortion is done up to 42 weeks of delayed menstruation or 6 to 7 weeks. In the instructions for medicinal products that are used for this service, the above period is indicated everywhere. Although in many countries the tablet method can take up to 63 days of delay. In the Russian Federation, so far the method is carried out only according to the instructions for the preparations.

Until how many weeks is vacuum aspiration done?

Vacuum aspiration is performed up to 12 weeks of gestation and is an alternative to surgical abortion. It is carried out in the conditions of day hospitals of medical centers, clinics. In the presence of a burdened history (a scar on the uterus, large uterine fibroids, the presence of anomalies in the development of the genital organs, severe allergic reactions), vacuum aspiration is carried out in a hospital. nine0007

Surgical abortion

Due to its trauma and a large number of complications, it is used less and less. With this method, the effect of general anesthesia and mechanical impact on the walls of the uterus, negatively affect the female body. The recovery period is also longer than with other methods of interruption. The earlier a woman has an abortion, the less traumatic the procedure will be for her health.

Early termination of pregnancy

Within 49days from the beginning of the last months, you can get rid of an unwanted pregnancy by medication. The drugs are taken in two stages and under the supervision of a doctor. Then there is a natural rejection of the fetus, as in a normal miscarriage. After a pill abortion, it is imperative to do a control ultrasound. If the fetus is not fully released, additional intervention will be required.

The medical method of abortion today is one of the safest for women's health. It is especially recommended for young girls who are planning a healthy childbearing in the future. nine0007

All pharmaceuticals should only be taken as prescribed by a doctor! Medical termination of pregnancy, like a conventional abortion, requires special preparation and stay under the supervision of a specialist for several weeks after the procedure.

In the early stages up to 5 weeks, a vacuum aspiration method is performed, in which the fetus is removed from the uterus using a vacuum, without the use of surgical instruments. The duration of the procedure is up to 10 minutes. A mini-abortion is performed under local anesthesia. After a few hours, the woman can leave the medical facility. nine0007

Often young girls who want to get rid of an unwanted pregnancy are afraid to go to the doctor and look on the Internet for ways to provoke a miscarriage using folk methods. We do not recommend doing this under any circumstances. There is a great risk to health and even life. It is better to spend time looking for a qualified specialist in private clinics and make an abortion on confidential terms.

Vacuum method up to 12 weeks

A woman can voluntarily terminate a pregnancy up to 12 weeks. At a later date - only if there are serious indications. At a period of 6-12 weeks, when it is too late to use medications and a vacuum, a classic abortion is performed. The fetus is scraped out of the body of the uterus using surgical instruments. Most often, the procedure is performed under general anesthesia or sedation (if such a method is practiced in a medical institution). nine0007

Late term abortions

From 12th to 22nd week, termination of pregnancy is indicated only for serious medical and social reasons. Medical indications are diseases in a woman that are of great harm both to her and to the health of the fetus. An abortion can also be indicated if the pregnant woman has a pathology that may interfere with the full care and upbringing of the child.

Indications for late abortion:

Progressive diabetes mellitus. nine0152
Tuberculosis.
Severe heart defects.
Oncology requiring chemotherapy.
Active phase of Itsenko-Cushing's syndrome.
Severe mental disorders.
Neurodegenerative diseases.
Pathologies of the kidneys and liver, accompanied by serious disorders in the functioning of the organs.
Autoimmune diseases in the acute stage.

Medical indications for termination of pregnancy on the part of the fetus - chromosomal disorders and pathologies incompatible with life. Since 2012, in the Russian Federation, there is only one social reason why you can have an abortion at a later date - the conception of a child occurred as a result of rape. nine0007

For an abortion for more than 12 weeks, the conclusion of a medical commission is required, which includes: the head physician of the medical institution; a gynecologist observing a woman; narrow specialists who have identified a disease that prevents a healthy pregnancy.

Termination of a late pregnancy is a complex and responsible procedure, which is best performed in medical institutions with an intensive care unit.