How to terminate a pregnancy safely and without complications

IMPORTANT! OUR CLINIC DOES NOT SELL TAKEAWAY TABLETS LIKE IN A PHARMACY! AND WE DO NOT SEND THEM TO OTHER CITIES! IF YOU NEED TO HAVE A MEDICAL ABORTION, YOU CAN MAKE AN APPOINTMENT WITH A GYNECOLOGIST AND RECEIVE THE MEDICATION ONLY IN THE CLINIC AT A DOCTOR'S APPOINTMENT at the address: St. Petersburg, Shuvalovsky 37 bldg. 1.

Medical abortion is a gentle, gentle way to terminate an unplanned pregnancy during early gestation. This method is the most relatively safe for a woman’s body, does not require surgical operations, since medical abortion does not provoke heavy bleeding and eliminates the risk of infertility in the future, and is especially recommended for women who do not yet have children, so that the subsequent pregnancy is full-term. The drug blocks the normal production of progesterone, which is responsible for preserving the fetus, and causes uterine contractions, embryo rejection and termination of pregnancy.

You can get a medical abortion in early pregnancy in St. Petersburg at the Women's Health Center at Shuvalovsky 37, building 1.

What are the benefits of abortion pills?

• The tablets do not cause serious negative complications due to the use of other methods of termination of pregnancy - curettage or aspiration (obstruction of the fallopian tubes, endometritis, etc.);
• Taking the drug eliminates the risk of infertility, reproductive function is preserved, the restoration of which occurs within 2 weeks after a medical abortion;
• There is no need to go to the hospital to have a medical abortion. The procedure for expulsion of the fetus - taking medication - occurs on an outpatient basis. Bleeding, similar to moderate or heavy menstruation, which allows you to keep the abortion secret and lead a normal lifestyle;
• Medical abortion without pain. Termination of pregnancy does not cause acute pain, the patient feels familiar cramps, as during normal menstruation;
• Taking the pill leads to rapid rejection of the embryo and in most cases, even without minimal side effects, termination of pregnancy can occur.
• Using special contraceptives is the best easy method for early abortion.

Why do women have abortions?

The content of the article

Every year, millions of couples experience unplanned pregnancies; every 4 out of 10 families decide to have an abortion. Medical abortions are also performed on patients when indicated for health or safety reasons. According to statistics, more than half of women have a history of at least one abortion by the age of 45.

Sometimes the solution is simple, sometimes it is difficult. But in any case, the decision to terminate a pregnancy is made by the woman herself. Surveys show that each patient has her own compelling reasons for an abortion:

• Fear of a negative reaction from children who already exist;
• Unpreparedness to be parents;
• This is not the right time in life to have a baby.
• The need to finish school, focus on work, or achieve other goals before having children.
• The partner does not want to be a father.
• Conception is the result of sexual violence.
• Pregnancy will affect your health.

Deciding to have an abortion does not mean you don't want or don't love children. In fact, 6 out of 10 people who terminate a pregnancy already have one. Many people just don’t want to have any more children in order to focus on raising the babies they’ve already born. Most women who have an induced abortion give birth later, when they feel they are in a better position to be a good mother.

Deciding if and when to have a child is a very personal one, and only you know what's best for you and your family.

Classification

Early pregnancy termination pills used in the Russian Federation are classified depending on the period of use:

Preparing for an abortion

Before termination of pregnancy, a gynecological examination is performed. Pre-manipulation diagnostics includes:

• consultation and examination by a gynecologist with a smear;
• general blood test according to indications;
• coagulogram according to indications;
• fluorography according to indications;
• ECG according to indications;
• blood tests for HIV and syphilis.

If there are no contraindications for abortion, then the woman is offered a suitable method of terminating the pregnancy. The gynecologist explains in detail all the nuances of the intervention and, if necessary, prescribes additional consultations with doctors and tests.

Escapelle

Refers to emergency contraception. One unit contains 1.5 mg levonorgestrel.

Experience has shown the effectiveness of the product after:

• Unprotected sexual contact;
• Ineffective adoption of barrier methods of contraception;
• Spontaneous sexual intercourse;
• Rape.

Action of the product

The drug Escapelle completely blocks the activity of estrogen and prevents the possible fertilization of a woman’s egg. If the terms of use are observed, the product provides a proven effectiveness of 97%.

Terms of use

The tablet should be taken within 72 hours after sexual intercourse, regardless of food intake or day of the menstrual cycle.

Contraindications to the use of the drug

• Individual intolerance to components;
• Liver or kidney failure;
• Lactose intolerance;
• Impaired intestinal absorption;
• Age up to 16 years.

Possible health effects after using the product

• Will cause headache;
• Discomfort in the lower abdomen;
• Digestive disorders develop;
• Allergic reactions;
• Bloody vaginal discharge not associated with the onset of menstrual bleeding;
• Failure of the menstrual cycle for 5-7 days.

Pregnant girls under 16 years of age are allowed to take Escapelle in case of rape. Escapelle tablets are not recommended for use twice in the same menstrual cycle. You can purchase the drug only with a doctor's prescription. The price of the medicine is about 500 rubles.

Genale

These are synthetic pills for emergency contraception, which contain an active ingredient such as mifepristone (available at 10 mg per unit).

The instructions indicate the pharmacological action of the drug

• Blocks the action of progesterone at the receptor level;
• Prevents ovulation;
• Prevents the attachment of the fertilized egg to the wall of the uterus.

How to use the drug

The tablet must be taken once 2 hours after a meal and no later than 72 hours after unprotected sexual intercourse.

Contraindications to the use of Zhenale

• Diseases of the adrenal glands;
• Chronic kidney disease or liver failure;
• Long-term therapy with corticosteroids;
• Impaired hemostasis, anemia;
• The presence of severe extragenital pathologies.

Side effects from the drug

• Cramps in the lower abdomen;
• Diarrhea and other stool disorders;
• Conditions of nausea, vomiting;
• Headache.

The price of a package of the medicine is about 450 rubles and it can only be purchased with a doctor’s prescription.

Mifegin

Mifegin contains about 20 mg of micronized mifepristone, and is used to terminate early pregnancy.

Action of Mifegin

• This French drug stops the process of progesterone production in humans by blocking receptors;
• Mefigin provokes active contraction of the myometrium;
• Promotes embryo rejection in a woman’s early pregnancy.

Contraindications to the use of Mefigin are:

• Liver or kidney dysfunction;
• Patients with adrenal gland problems;
• Inflammatory processes of the genital organs;
• Porferia;
• Poor blood clotting;
• Low hemoglobin level
• Asthma.

Possible side effects after using Mefigin

• Drowsiness;
• Nausea;
• Diarrhea;
• Vomit;
• Headache.

The use of the drug is permissible only in specialized gynecological institutions. The procedure is carried out as prescribed and under the supervision of a doctor. Use is possible only if there is no threat of developing an ectopic pregnancy.

Who can I talk to about this topic?

Many people shift the responsibility for a difficult decision onto someone else's shoulders. You can’t do this, but you can simply consult with people who understand and support you. Of course, these should not be girlfriends and other strangers. The maximum people you can trust are parents, spouse and doctors.

A good gynecologist will definitely tell you about the consequences of an abortion, taking into account your state of health and the timing of your pregnancy. He will help you look at the situation impartially, because he sees the same patients every day. The doctor will provide real facts and will not judge.

When asking for advice, you should understand that no one should force you to make any decision about terminating or continuing your pregnancy.

Agesta

This is a drug used to terminate early pregnancy. The tablets contain synthetic antigestagens, mifepristone at a dosage of 10 mg/1 unit.

Action of the medicine

• Destruction of the fetal egg shell and its rejection;
• Stimulation of uterine contractions;
• Opening the cervix to cleanse it.

This drug has a number of medical contraindications

• Kidney or liver diseases;
• Heart pathologies;
• Poor blood clotting;
• Iron deficiency;
• Porphyria;
• Individual intolerance to components.

Rare side effects from the procedure

• Vomiting;
• Diarrhea;
• Headache;
• Painful sensations in the lower abdomen.

Agesta price from 870 rub.

How to prevent the threat of miscarriage

• Plan your pregnancy in advance by conducting a comprehensive examination to prepare the woman’s body for conception. If any diseases are present, it is necessary to treat and eliminate their possible impact on the course of pregnancy;
• protect your health from possible stress and anxiety, do not overwork, get enough sleep and relax;
• eat well, consuming sufficient amounts of vitamins, micro- and macroelements necessary for normal intrauterine development of the fetus and maintaining the health of the female body;
• Do not lift anything heavy under any circumstances;
• choose comfortable shoes without high heels (minimizing the possibility of an accidental fall and the appearance of thrombophlebitis);
• taking into account the recommendation of a specialist, constantly perform special physical exercises for pregnant women, which will later help during childbirth.

To maintain a normal pregnancy, vitamins should not be taken synthetic, but should be taken from foods rich in them, with a living molecular structure. Fresh natural fruits and vegetables, juices from them, rich in fiber, calcium, B vitamins and vitamin C are especially important for the overall strengthening of a woman’s immune system.

Despite the fairly common threat of miscarriage, today there are many options for help for a woman who wants to carry and give birth to a healthy baby. The main thing is to constantly undergo consultation, take tests in a timely manner, and follow all the recommendations of the gynecologist.

Obstetrician-gynecologist, services, prices, registration

Pencrofton

The main function of the composition is to suppress progesterone due to the content of about 200 mg of mifepristone in 1 unit.

Pencrofton action

• Prevents the production of progesterone at the receptor level;
• Activates fetal rejection by the myometrium;
• Causes uterine contractions.

Under the influence of a dose of Pencrofton, an abortion occurs - miscarriage and removal of the fetal egg.

The drug has individual contraindications

• Individual intolerance;
• Chronic renal or liver failure;
• Anemia;
• Porphyria;
• Uterine fibroids;
• Infectious disease of the genital organs;
• Ectopic pregnancy.

Side effects in some patients

• Nausea;
• Dizziness;
• Chills;
• Diarrhea.

Pencrofton tablets can only be purchased at a healthcare facility directly from a healthcare professional or doctor.

The drug Ginestril

Contains 50 mg mifepristone per unit.

Method of action

• Blocks the production of progesterone;
• Promotes spontaneous miscarriage, under its influence abortion occurs.

The drug has medical contraindications

• Endometrial hyperplasia;
• Uterine fibroids;
• Neoplasms on the genitals;
• Anemia;
• Individual intolerance;
• Problems with the liver or kidneys.

Side effects after using the product

• Migraine;
• Pain in the lower abdomen;
• Nausea and vomiting;
• Stool disorders;
• General weakness.

Dispensed in pharmacies strictly according to a doctor's prescription.

Mytholian

Mifolian tablets are a progesterone antagonist; they contain mifepristone in an amount of 200 mg.

Action of the product

• Increases uterine contractility;
• It provokes abortion - rejection and release of the fertilized egg from the uterine cavity.

A day after treatment with this medication, the patient is additionally prescribed to take proglandins.

Admission has contraindications

• Age less than 18 years;
• Kidney or liver dysfunction in a woman;
• Blood clotting disorder;
• Iron deficiency in the blood;
• The presence of inflammatory diseases in the reproductive organs;
• Individual intolerance to components.

Side effects

• General weakness;
• Dizziness;
• Nausea;
• Headache;
• Cramps in the lower abdomen.

The drug can be purchased with a doctor's prescription, its price ranges from 1,500 to 2,500 rubles.

Cytotech

It is an abortifacient drug containing about 0.2 mg of misoprostol.

Action

• Stimulates myometrial contraction;
• Promotes the opening of the cervix and the removal of the fertilized egg.

Contraindications

• Impaired kidney or liver function in a woman;
• Individual intolerance to the components of the drug.
• Presence of cardiovascular pathologies;
• Hypersensitivity to components;
• Endocrine system disorders;
• Anemia;
• The presence of hormone-dependent tumors;
• Age up to 18 years;
• Ectopic pregnancy;
• Intrauterine device.

Side effects

• Headache;
• Diarrhea;
• Drowsiness;
• Mild clouding of consciousness;
• Vomit.

Tablets should only be used in combination with Mifepristone, exclusively in inpatient medical conditions under the supervision of a physician. The drug can only be purchased with a doctor's prescription, its price starts from 1,300 rubles.

Functional autonomy of thyroid nodules.

During pregnancy, thyroid scinitography is strictly contraindicated. Therefore, for the purpose of differential diagnosis of the functional autonomy of the node and DTG, a study of the level of antibodies to TSH receptors is carried out. If a large formation (more than 1 cm in diameter) or growth of a node is detected during pregnancy, a fine-needle aspiration biopsy (FNA) can be performed at any stage.

Management of this pathology during pregnancy usually does not require the administration of large doses of thyreostatic therapy. In this regard, surgical treatment is postponed until the postpartum or even post-lactation period. Control of hormonal levels depends on the compensation of thyrotoxicosis and can, at the discretion of the attending physician, be carried out once every 3-8 weeks.

Remember that thyrotoxicosis during pregnancy poses a danger to both the mother and the fetus. In this regard, if there are complaints of palpitations, interruptions in heart function, tremors of the hands, internal tremors in the body, unreasonable feelings of anxiety, feeling of heat, lack of weight gain or even weight loss, loose stools several times a day, it is necessary to perform a hormonal blood test in order to exclude thyrotoxicosis.

Rules for using emergency contraceptive pills

Do I have to wait 72 hours to take emergency contraception?

In no case! The sooner you take the pill, the higher the chance of confirming the effect and preventing pregnancy. Emergency contraceptive medications can be used immediately or up to 72 hours after unprotected sex. Modern contraceptives allow you to save yourself from the subsequent need to have an abortion with just one pill.

How effective are medications to prevent pregnancy?

The effectiveness of emergency contraception depends on the number of hours and days that have passed since unprotected sex:

• Within 24 hours - 95%;
• Between 25-48 hours - 85%;
• Between 49-72 hours - 58%.

How often can you use emergency contraception?

Emergency contraception cannot be used as a permanent method of contraception and should be used as rarely as possible (no more than once per menstrual cycle).

Abortion: how and where to have the operation without complications in St. Petersburg

Unfortunately, many women consider this procedure to be almost ordinary and make the decision to have an abortion without thinking about the possible consequences. But this is an operation that is unsafe for health. The decision to have an abortion must be made by the woman consciously, since there is no absolutely safe method. The price of artificial termination of pregnancy, if performed poorly, will be infertility.

If abortion is the only possible solution, the choice of a gynecologist is very important. Terminating a pregnancy in a gynecological private clinic will reduce the risk significantly. It is better to pay the cost of services from a reliable medical center with a good gynecology department than to face the impossibility of conceiving in the future.

Rules for using pills to terminate early pregnancy

The most effective regimen for using abortifacient drugs is as follows:

1. Use of products containing Mifepristone;
2. Prostaglandin use.

The first stage of the regimen consists of taking tablets containing 600 mg of the active substance - Mifepristone. The second stage begins after 48 hours, and the patient must take 2 prostaglandin tablets, each containing 0.4 mg of the active substance - Misoprostol.

Most women, after using this regimen of pills, experience a medical abortion - termination of an early pregnancy, accompanied by symptoms of heavy menstruation. In most cases, a woman begins bleeding the very next day after taking the pills during the first stage of an abortion.

Almost all medical institutions allow the patient to drink prostaglandin at home.

A medical abortion can be performed only after an ultrasound examination confirming the presence of pregnancy and the permissible period.

How can you be sure that a miscarriage has occurred?

Sometimes bleeding is not a guarantee that a medical abortion has occurred and the pregnancy has been terminated. You need to take a pregnancy test in the first 2-3 weeks after taking the drugs.

Usually, after an abortion, blood clots remain in the uterine cavity. They are not considered dangerous to the body if there are no accompanying symptoms in the form of fever, etc., and come out along with menstruation that occurs after termination of pregnancy.

Are you ready to become a mother? When is the decision to have an abortion justified?

Family, relationships, school, work, life goals, health, safety and personal beliefs are the minimum considerations people weigh before having an abortion.

Questions to ask yourself before going to the clinic:

• Are you ready to become a mother?
• Will your health allow you to have children after an abortion?
• What will change for the family with the arrival of the baby?
• How will the birth of a baby affect your career goals, income and future plans?
• How will personal or religious beliefs regarding abortion subsequently affect the psyche?
• Do you want to have an abortion yourself or is someone influencing your decision?
• Can abortion change your life in ways you don't want?
• What support will you need if you decide to have an abortion or keep your baby?

Decisions about your pregnancy are deeply personal. You have the right to live the way you want. And if you understand that you will not be able to raise and support your child, and no one will support you in this, then the decision can be considered justified. If abortion is just a whim, then such an act can be called immoral.