Cnn
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Mifepristone, one of the two drugs used for medication abortion, may continue to be mail to patients who do not visit a face -to -face with a doctor following the rejection of a case that challenges the abortion pill of the US Supreme Court.
San Francisco is a professor of obstetric, gynecology and reproductive sciences at the University of California. “While many women receive drug abortions from a clinic or their OB-GYNs, others take pills on their own to encourage their own abortion or self-managing,” Daniel Grossman said.
“A growing research group shows that self -governing abortion is safe and effective,” he said.
Mifepristone prevents hormone progesterone required for the continuation of pregnancy. Medicine “The 10 -week pregnancy, which has been 70 days or less since the first day of the last menstrual period, has been approved. According to the US Food and Pharmaceutical Administration.
In a drug abortion, Misoprostol, a second drug, is taken within the next 24 to 48 hours. Misoprostol causes the uterus to contract, creates cramps and bleeding. The drug approved for use in other conditions such as the prevention of stomach ulcers has been present in pharmacies for decades.
Together, two drugs are widely known as the “abortion pill olan which is used in more than half of the abortions in the United States. According to Guttmacher InstituteA research group that supports abortion rights.
“Some people are doing this because a clinic-especially in states with legal restrictions on abortion-or because they have self-care preferences,” he said. Adding new standards in reproductive health, It is a research group that evaluates the pros and cons of reproductive health policies and publishes studies on how abortion affects a woman’s health.
What happens during a drug abortion? He spoke to CNN Grossman to learn. This speech has been concentrated and arranged in terms of clarity.
CNN: What is the difference between the first trimester drug abortion? a vacuum aspiration In terms of what a woman lives?
Dr. Daniel Grossman: A vacuum aspiration is most commonly performed under the combination of local anesthetics and oral pain drugs or local anesthesia, called intravenous sedation or conscious sedation.
A local anesthetic injection is given to the area around the cervix and the cervix is gently dilated or opened. After the cervix is opened, a small straw -like tube is placed in the uterus and a soft vacuum is used to remove the pregnancy tissue. Contrary to what some say, if the procedure is done before nine weeks, There is nothing in the tissue that can be recognized as part of the embryo.
The aspiration procedure takes only a few minutes. Then, the person is observed for one to two hours until any sedation is worn. We also follow each patient for very rare complications such as heavy bleeding.
Drug abortion is a longer process. After receiving the pills, bleeding and cramps may occur within one day. Bleeding is typically heavier when real pregnancy is deported, but the bleeding usually alleviates within a few hours. On average, people continue to bleed for about two weeks, which is slightly longer than vacuum aspiration.
Nausea, vomiting, fever, tremor, diarrhea and headache can occur after using abortion pill, and anyone with a successful drug abortion usually reports some pain.
In fact, the pain of drug abortion can be quite intense. In studies facing it, the average maximum pain level of people is about seven to eight out of 10, 10 of them are the highest. However, people also say that pain may be short as pregnancy is thrown.
Cramp and pain level may depend on the length of pregnancy and whether someone has given birth before. For example, a medical abortion in six weeks or less pregnancy has less pain and cramps than one nine weeks. People who give birth often suffer less.
CNN: What can be done to help the pain of a drug abortion?
Grossman: There are definitely things that can be used to help pain. Research Ibuprofen It is better than acetaminophen to treat the pain of drug abortion. We advise people to buy 600 milligrams every six hours when necessary.
Some people take tramadol, a narcotic analgesic or acetaminophen and a combination of hydrocodone Vicodin. Recent research can help if I have participated in drugs such as tramadol before the pain begins.
Another successful regime examined combined Ibuprofen with a nausea called metoclopramide, which also helps pain in pain. Apart from Ibuprofen, these drugs require prescription.
Another study found that a TENS device representing the transcutanous electrical nerve stimulator helped the pain of drug abortion. It works through the pads put on the abdomen that stimulate nerves through light electric shocks, thus interfering with pain signals. This is something people can get without a prescription.
Pain may be overlooked about the abortion of drugs, because to be honest, as clinicians, we are not there with patients when they live in their homes. However, it becomes clear that pain control is really important, as we do more research on people’s experience of drug abortion. I think we should do a better job to treat pain and make these options usable for patients.
CNN: Are there any health conditions that foolish the use of a drug abortion?
Grossman: If pregnancy is ectopic, it can be dangerous to abortion, ie the embryo develops outside the uterus. Rarely, it takes place in about 2 Every 100 pregnancies – and it seems more rare among people looking for abortion.
People with previous pelvic, fallopian tube or abdominal surgery, such as those who have a history of pelvic inflammatory disease, have a higher risk of ectopic pregnancy. Some sexually transmitted infections may increase the risk of use of infertility treatments such as smoking, history of infertility and in vitro fertilization.
If a person uses anticoagulant or blood thinner drugs or if he has bleeding disorder, drug abortion is not recommended. The long -term use of steroids is another contraindication for using the abortion pill.
Anyone who uses an intrauterine device or ria should be removed before taking a mifepristone, because it can be partially deported during the procedure, which may be painful.
People with chronic adrenal insufficiency or inheritance porphyre Not a good candidate.
CNN: Are there any signs of problems that a woman has to watch after having an abortion of medicine?
Grossman: It may be common to have a low -grade fever in the first few hours after taking misoprostol, the second drug in a drug abortion. If one has a low-grade fever, they must be evaluated by a healthcare provider if Fahrenheit has a high fever of more than 101 degrees after taking more than four hours of Fahrenheit-these 101 degrees to 101 degrees.
A heavy bleeding or a bad -smelling vaginal discharge should be evaluated for two or more thick full -length pads per hour for two hours.
One of the stimuli symptoms of ectopic pregnancy is severe pelvic pain, especially on one side of the abdomen. Pain can also spread back. Another sign is dizziness or fainting that can show internal bleeding. All of these are very rare complications, but being wise to be in surveillance.
We recommend that someone with a drug abortion usually has someone with them for the first 24 hours after taking Misoprostol or until pregnancy passes. Many people prefer to abortion, as they may be surrounded by a partner, family or friend.
Most people know that abortion is completed, because they stop feeling pregnant, and symptoms such as nausea and breast sensitivity are often disappeared within a week after pregnancy. The home urine pregnancy test may remain positive even four to five weeks after a successful drug abortion, because it takes a long time for the pregnancy hormone to disappear from the bloodstream.
If someone still feels pregnant, if pregnancy is not completely passed or if there is a positive pregnancy test They should be evaluated by a clinician weeks after receiving Mifepristone.
People should know that they can rub two weeks after a drug abortion. Most birth control options can be started immediately after a drug abortion.
