We understand unwanted pregnancy can put a lot of stress on the physical and mental health of a woman. In such situations, Termination of Pregnancy (TOP) or abortion can be a blessing for her. The termination can be safely performed until the end of the second trimester as per state law. There are two types of procedures are available for Termination of Pregnancy.
● Medical Abortion:
Use of medicines for termination of pregnancy up to 10 weeks or 70 days.
● Surgical Abortion:
Use of surgical methods for termination of pregnancy.
When to choose medication abortion/abortion pill?
● If a woman prefers medications over a surgical procedure
● Up to 70 days of pregnancy, it is considered more effective than surgical abortion
● If a woman has a congenital deformity of the uterus or narrowing of the lower part of the uterus (cervix)
● The woman can take some medications at home, which is more convenient
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Abortion can be a mentally stressful procedure, so counseling holds an important place in pre-abortion procedures. The main objectives of this counseling are to:
● Help the woman to make an informed decision
● Provide knowledge about the procedure
● Remove the anxiety related to the procedure
This counseling can be performed by a nurse, doctor or an experienced counselor. During counseling, the woman is given pregnancy options counseling and informed consent-related counseling. A woman may have a variety of reasons for opting for an abortion. The counseling helps in making the correct decision without any mental stress. The counseling also gives an opportunity to prepare the woman for possible adverse effects of the medical abortion. Your doctor will have to ascertain a few things before he/she can administer the procedure. These include the following investigations:
● Ultrasound for confirmation of pregnancy and estimation of duration of pregnancy
● Measurement of vital signs (Temperature, Pulse, Blood Pressure, Respiratory Rate)
● Blood grouping
● Lab tests for sexually transmitted diseases
How this regimen is used (FDA regimen)
3 days and at least 2 visits to a clinic are required for this method.
During the initial visit, history is taken and examination of the woman is done followed by pre-abortion counseling and investigations. Once the consent is obtained and contraindications are excluded, a tablet containing 200 mg of Mifepristone (RU-486) is given orally to the woman and advised to re-visit on day 2-or 3.
Day 2 or 3
She is given the second tablet containing misoprostol (800 micrograms) on day 2 or 3 at the clinic. Usually following consumption of the second tablet, there will be bleeding from the vagina and cramps will be felt in the abdomen. This is due to the contraction of the uterus and expulsion of aborted products of pregnancy. Antibiotics may also be given to prevent the infection. A pain killer medicine can be given to alleviate the pain.
Follow up visit
She is advised to visit on day 15 for re-examination and to ascertain that the abortion is complete. It also gives an opportunity for a doctor to check the health status of the woman. Call us to find out the contraindications of the regimen.
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Frequently Asked Questions:
According to guidelines by Food and Drug Administration of United States, these regimens are highly effective and should be used for termination of pregnancy of less than 70 days.
The pain associated with medical abortion is varied but one should expect some degree of mild to moderate abdominal pain depending on their pain threshold and the gestational age of the pregnancy.
The price of a medical abortion depends on the center where the abortion is carried out, the type of abortion that is done and the gestational age of the pregnancy.
Most insurance companies do cover medical abortion but it is always important to check with your insurance provider to confirm.
Minors generally require parental consent, but it is also important to find out about abortion laws relevant to your state of residence.
Women who are rhesus negative would need to receive this anti-D immunoglobulin after a medical abortion to prevent miscarriages in subsequent pregnancies.
After taking the second tablet, you may feel abdominal cramps as you begin passing the products of pregnancy. You may take pain killers to relax you and allow the pill to work.
Consult your doctor on this matter. You may be advised not to take a bath immediately. This is to prevent infection due to water entering the exposed area.
You may choose to do so, but remember that it can take 40-60 days before the pregnancy test becomes negative. If you take a test immediately afterwards, you will still get a positive result.
If you are working with qualified doctors and nurses, they will always maintain patient confidentiality. There is no need of worry about your privacy or information being leaked.
It is said that medical abortion is more effective than surgical abortion in the early pregnancy. For pregnancy of less then 7 weeks old, this method will be 98% effective. After that the effectiveness will decrease, but still remains as high as 95%.
Yes. Mifepristone and methotrexate need some time for their work. Only after that the misoprostol will be effective in expulsing all the content. So you need to keep some distance between two pills.
There are alternative regimens available, but they are used less. Sometimes a single pill is used but studies have shown that to be 70-85% less effective than the combination of 2 pills.
For mild to moderate pain, you can take Tylenol (500-1000 mg). If pain is more severe, you may take ibuprofen (200-600 mg). In extreme cases, codeine may be prescribed.
If you have fever, nausea, vomiting, diarrhea, or lower abdominal pain after medical abortion, you can suspect infection. You should immediately contact a doctor as this is a dangerous condition.
If medical abortion fails, it can be followed by repeat medical or surgical abortion. There are not enough evidences available to show that abortion pills can cause anomaly in embryo except for methotrexate.