Medical abortion is a procedure that uses some types of medications for women that help to end an established pregnancy. Medical abortion doesn’t require body anesthesia or surgery, but it can only be done early time in pregnancy. The procedure can be done in a health care provider’s office or clinic. Sometimes a medical abortion can be done at home. Pursuing a medical abortion is a major decision with emotional and psychological consequences for any women.
For a woman reasons for pursuing medical abortion are highly personal and different. Women may have mixed feelings about being pregnant. You may have financial problems that preclude having a baby. Or you may not be capable of parenting due to mental health problems or other issues. For many of these circumstances there are alternatives, such as adoption. In addition, you may have a serious medical problem that poses a risk to you or the baby during pregnancy.
Sometimes women prefer medical abortion over other types of abortion because some methods of medical abortion may be done at woman home, providing privacy for woman and some degree of control.
But medical abortion potential risks include:
- Incomplete abortion, which may need to be followed by surgical abortion! very important
- Infection, any type
- Heavy bleeding
- Damage to the uterus
NOTE: If you decide to continue the pregnancy after takeing the medications used in medical abortion, your baby may be at high risk of birth defects. Medical abortion hasn’t been shown to affect future pregnancies unless complications develop.
Medical abortion may not be an option for women if :
- Are too far along in the pregnancy — typically seven to nine weeks
- Woman have a high risk of uterine rupture or have an intrauterine device (IUD) in place
- Woman have certain medical conditions, such as uncontrolled high blood pressure, diabetes, certain heart or blood vessel diseases, severe liver, kidney or lung disease, or an uncontrolled seizure disorder
- Woman take a blood thinner or certain steroid medications
- Can’t attend follow-up visits to health care provider or don’t have access to emergency care
- Woman have an allergy to the medications used
- Smoke heavily
Women who want to end a pregnancy but can’t have a medical abortion may want to consider surgical abortion instead.
Medical abortion can be done using : oral mifepristone and oral misoprostol, Oral mifepristone and vaginal misoprostol, Methotrexate injection and vaginal misoprostol, Vaginal misoprostol alone, and some other medications
The medications used in a medical abortion cause vaginal bleeding and abdominal cramping. They may also cause:
After the procedure within 48 hours must begin vaginal bleeding, if vaginal bleeding doesn’t begin within 48 hours after treatment, it may may be an incomplete abortion or woman still be pregnant. In these cases, a surgical abortion may be needed.
Normal menstruation usually starts four to six weeks after a medical abortion. Keep in mind that pregnancy is possible shortly after an abortion, even before menstruation begins. To reduce the risk of infection, don’t have vaginal intercourse or use tampons for two weeks following a medical abortion.
After a medical abortion, women likely experience a range of emotions — such as relief, loss, sadness and anger. These feelings are normal.