Drug abortion refers to induced abortion by injection or drugs in early pregnancy without surgery. The application of drugs to terminate pregnancy is the latest development in recent 20 years. At present, mifepristone (Ru486) is usually used in combination with prostaglandin. The former causes uterine decidua degeneration and necrosis and cervical softening, while the latter causes uterine contraction and promotes embryo expulsion. The drug flow is simple, effective and non-invasive, which avoids the possible complications caused by entering the uterine cavity. Currently used to terminate pregnancy within 8 weeks.

First, the advantages and disadvantages of drug flow

Advantages: avoiding the pain and some complications of surgical abortion, and achieving the purpose of terminating pregnancy and promoting menstruation without pregnancy.

Disadvantages Some women suffer from vaginal bleeding for a long time after abortion, and a few people may still need surgery to clear the uterus because of incomplete abortion.

Second, who can use medical abortion?

Healthy women who are pregnant for 5 ~ 7 weeks are not suitable for surgical abortion, such as:

Within 1. Caesarean section 1 year, people who have miscarried for half a year or more are pregnant. Because the uterus has not fully recovered, surgical abortion is prone to injury and bleeding.

2. Women who take steroid contraceptives or breast-feed for a long time, because the uterine wall is thin, soft and brittle, easy to be damaged, it is best not to have an abortion.

3. For women with abnormal uterus or extreme flexion, the operation is difficult.

4. Very afraid of women who have experienced dizziness, palpitation, cold sweat, pale face and other symptoms during surgery or surgery.

Third, anti-early pregnancy drug methods

The drug flow method must be used under the supervision of a doctor and requires hospitalization observation. There are many methods of drug abortion. Here are two most commonly used methods, and the results are satisfactory.

1. Use fluoxetine (mifepristone)+carboprost suppository or other prostaglandin drugs for abortion.

Oral administration of 1 3 days, and vaginal placement of 1 tablet of carboprost suppository (or oral prostaglandins) on the 4th day.

After 6 hours of observation, the complete abortion rate is about 90%.

2.23 visiting relatives medicine (r 2323)+ carboprost suppository to prevent early pregnancy.

Three days after taking No.23 medicine for visiting relatives, on the fourth day, carboprost suppository 1 tablet was placed in vagina and observed for 6 hours. The complete abortion rate is about 90%.

Precautions:

● The drug taker must be pregnant within 45 days after menopause and be under 34 years old;

● Good physical condition and no contraindications. The so-called contraindications include: serious systemic diseases, liver and renal insufficiency, allergies, heart disease, hypertension, anemia, asthma, glaucoma, itchy skin during pregnancy, suspected ectopic pregnancy, long-term heavy drug use, smoking more than 10 cigarettes a day, alcoholism, etc.

● Do B-ultrasound examination before taking medicine to confirm intrauterine pregnancy;

● Rest for at least 3 to 5 days after abortion;

● Strictly follow the doctor's advice and make follow-up visits on time;

● Can't take medicine continuously;

● The selected hospital must have emergency conditions (emergency curettage, infusion and blood transfusion);

● Can't be taken as a common contraceptive.

First, matters needing attention after drug abortion

1. After the tissue is discharged, you need to be hospitalized 1 hour. If there is not much vaginal bleeding, you can go home and rest.

2. Take a proper rest within 2 weeks after abortion, eat nutritious food and do not do heavy physical labor.

3. Pay attention to the cleanliness of perineum, and prohibit bath and sexual life when vaginal bleeding is not clean.

4. In the first 2 ~ 3 days after abortion, the amount of vaginal bleeding is generally equal to or slightly more than the amount of menstruation. If vaginal bleeding is large or persistent, you should see a doctor in time.

5. If there is no tissue excretion, observe for 2 weeks after taking the medicine, and pay attention to whether there is tissue excretion during urination or urination. Send urine for pregnancy test every week.

6. Ovulation may resume soon after abortion, and contraceptive measures should be taken to avoid pregnancy again.

Second, the causes and treatment of bleeding after drug abortion

The bleeding after drug abortion is generally 1-3 weeks, and the overall performance is: the bleeding is less and less every day; If the amount of bleeding first decreases and then increases, or does not decrease at all or gradually increases, it is abnormal, and the common reasons are as follows:

1. Incomplete abortion: The main causes of bleeding after drug abortion can generally be judged by gynecological examination and B-ultrasound.

2. Infection after drug abortion: If the B-ultrasound determines that there is no residue in the uterus, then the infection in the uterus should be considered, because the aborted blood is a good culture medium for bacteria. If the situation is serious, the uterus will have tenderness and fever during gynecological examination.

3. Poor blood coagulation function: Some people are prone to ecchymosis or bagging with a little touch or pinch, so this person may have poor blood coagulation function, and there may be massive bleeding or long-term bleeding during drug abortion or abortion.

Treatment: For many reasons, it is best to go to the hospital for detailed examination and judgment.

How to carry out drug flow

Although medical abortion has many advantages, it also has its disadvantages. ⑾ ⑿ ⑿ ⑿ ⑿ ⑿ ⑿ ⑿ ⑿ ⑿? It is so simple to make an appointment for a PC, and in order to ensure women's health, it is forbidden to sell abortion drugs in general pharmacies, and drug abortion must be carried out in qualified medical institutions.

Can I make my own medicine flow at home?

In the past, women of childbearing age have been praying for a safe and reliable method to terminate pregnancy after contraceptive failure. Now there are oral abortion drugs, such as mifepristone and misoprostol, which have obvious effects and are very popular. However, if it is not properly applied, it will also cause serious side effects and complications, which cannot be taken lightly.

Mifepristone, also known as Yin Xi or Ru486, is a new antiprogesterone, which can induce abortion and terminate early pregnancy. The effective rate of single application is 65% ~ 85%, and the success rate (complete abortion) can be as high as 95% when used with misoprostol. It is suitable for pregnant women with positive urine pregnancy test within 49 days after menopause. The shorter the pregnancy time, the better the effect. However, pregnant women with asthma, spastic bronchitis, angina pectoris, arrhythmia, heart failure, hypertension, glaucoma, hepatic and renal insufficiency, ectopic pregnancy, ulcerative colitis, adrenal insufficiency, long-term use of glucocorticoid and insulin-dependent diabetes are prohibited.

Generally, after mifepristone and misoprostol are used, the embryo sac in the uterine cavity can be discharged in about 2 ~ 3 days. At this time, vaginal bleeding is more, which can cause dizziness, nausea, vomiting, fatigue, abdominal pain and other reactions. The decidual tissue in the uterus can often be discharged slowly in about 2 weeks, and then the bleeding stops, which is called complete abortion. Therefore, pregnant women are required to go to the hospital for reexamination 15 days after drug abortion. B-ultrasound examination and urine pregnancy test are carried out when necessary to determine the effect of abortion. If there is no abortion within 1 week after taking the medicine, or vaginal bleeding increases obviously around 10 day, and bleeding continues after more than 3 weeks 1 month, you should go to the hospital for reexamination in time. For those who fail or have incomplete abortion, induced abortion or curettage should be performed respectively.

However, some pregnant women don't know much about the advantages and disadvantages of this drug, which makes it very dangerous. For example, a pregnant woman actually took medicine at home to have an abortion. At first, she didn't see the embryo sac discharged, but on the fourth day, she suddenly had abdominal pain, was pale and was in a state of shock, and was diagnosed as an ectopic pregnancy by a doctor. Fortunately, she turned the corner in time. Another pregnant woman had a medical abortion in the hospital, but she was anxious to leave the hospital. As a result, she bled heavily on her way home and had to rush back to the hospital for emergency operation and curettage to turn the corner. There is also a pregnant woman who has vaginal bleeding for more than 40 days after drug abortion. She tried to flush the residual tissue with menstruation, but failed to curettage in time, which also led to massive bleeding. Although struggling to rescue, but she anemia, pelvic inflammatory disease.

It should be emphasized that many women, especially unmarried women, often have a wrong understanding that drug abortion, like menstrual cramps, will not affect their health, so that they do not pay attention to taking effective contraceptive measures. Once pregnancy is found, medical abortion is required, and some people do it two or three times a year, which will obviously damage their health.

It can be seen that medical abortion is not a conventional contraceptive method, but a remedial measure after an unexpected pregnancy due to contraceptive failure. And it must be carried out in a conditional hospital under the supervision and guidance of a doctor. It is forbidden for pregnant women to take medicine at home without authorization, otherwise the consequences will be unimaginable.

Self-care after drug abortion

With the development of obstetrics and gynecology, artificial termination of pregnancy is widely used in clinic as a remedial measure after contraceptive failure, especially the popularization and application of mifepristone, a new anti-early pregnancy drug, and the treatment of traditional Chinese medicine after abortion, which reduces the side effects of excessive vaginal bleeding and prolonged bleeding time caused by poor discharge of pregnancy products, reduces the rate of uterine curettage and greatly relieves the pain of subjects. The author has been engaged in clinical work for many years, and deeply feels that many patients with induced abortion (especially those who have used medical abortion in recent years) do not pay attention to the post-abortion conditioning, thus affecting their physical and mental health.

Postpartum adjustment is well known and has been paid much attention to, but the importance of adjustment after drug abortion is often ignored. Drug abortion is the forced separation of pregnancy and uterus by drugs, which is more harmful to the body than full-term delivery. Xue Lizhai, a physician in the Ming Dynasty, also pointed out: "Small production is more important than large production, and large production is like millet ripening; Abortion is like picking a raw, breaking the skin and hurting the roots. " The pain caused by abortion can be imagined. So now gynecologists attach importance to rest after abortion and think that rest after abortion should be more important than postpartum.

Under normal circumstances, after drug abortion in early pregnancy, the vagina has different degrees of bleeding, and it is clean for 3-5 days or 7- 10 days. Generally, it will not have a big impact on the body. However, if you have multiple pregnancies and miscarriages, or if you don't adjust your photography correctly, it will also lead to many complications. The reasons are as follows: First, there is no abortion without damaging the uterus. Improper adjustment, overwork or improper sexual intercourse, easy to hurt urgently, the uterus is more difficult to recover. Second, after abortion, the blood room is open, the adjustment is neglected, the vulva is not kept clean, and evil drugs are easy to commit. Thirdly, after the abortion, the impulse of chong ren is damaged, the turbid liquid in the uterus stays, and the "keeping the fetus with the object" stagnates, which leads to a long time of vaginal bleeding and improper treatment adjustment, which often leads to many complications such as "pelvic inflammatory disease". Therefore, nursing after abortion is particularly important.

Work and rest: With the accelerated pace of life, many professional women, especially unmarried pregnant women, often give up their rest time after abortion. The author often asks such outpatients why they don't follow the doctor's advice and don't rest after drug abortion. They always laugh it off, or think that they can't live without their work, or think that the harm is small and harmless. I once met an ancestral car driver who had four induced abortions (including two drug abortions) in two years, and the remaining days were less than 10. Now I am weak and sick, and I often catch a cold. This shows that you must rest and recuperate according to the doctor's advice after abortion, and don't worry too much.

Suitable cold and temperature: after abortion, the reason is not dense, and cold is easy to invade. Don't be greedy for cold drinks. "Avoid being greedy and cold in summer, avoid eating cold things, and sleep in the wind; Store one or two cylinders of water in the summer room to solve the hot air; Add one or two pots of fire to keep warm in winter ("ensuring production and spirit").

Cautious diet: qi and blood failure after abortion, overeating greasy and cold, easy to hurt the spleen and stomach. You should eat nutritious and digestible products, and you can also choose appropriate prescriptions or medicated diets for treatment and conditioning according to the overheating or supercooling of vegetarians. The following prescriptions are available:

1, Gong Yi drink: Codonopsis pilosula, Ligustrum lucidum, Eclipta prostrata, Radix Rubiae and Herba Leonuri each 15g, Atractylodes macrocephala, Pollen Typhae each 12g, and Glycyrrhiza uralensis 3g. Soak in cold water for 30 minutes, decoct to get juice 150 ~ 200ml, and take it twice, daily 1 dose. Suitable for patients with vaginal bleeding after abortion.

2, brown sugar motherwort soup: 60 grams of brown sugar, 30 grams of motherwort. Decoct motherwort to get juice, pour it into brown sugar, and take it twice. Suitable for patients with excessive blood stasis.

3. Shenqi ointment: 60 grams of ginseng, 500 grams of baked astragalus and 500 grams of glutinous rice. Decocting the first two ingredients twice, filtering to get 200 ml of juice, adding maltose, concentrating with slow fire to paste, and storing for later use. 20 grams three times a day, taken with boiling water. Suitable for people with qi deficiency and pale and thin blood color.

If the symptoms are obvious, such as fever, abdominal pain, long-term unclean blood, leucorrhea or blood stains. You should go to the hospital in time for corresponding diagnosis and treatment.

There is a forbidden area for drug abortion.

Because induced abortion often brings great pain to body and mind, many people choose medical abortion.

Drug abortion, as its name implies, is a method to terminate early pregnancy by taking drugs orally. Some problems caused by surgical abortion were avoided, and the complete abortion rate reached 90%-95%. Moreover, if the abortion fails, the pain of re-operation to clear the uterus is lighter than that of induced abortion, because the cervix has been opened and there is no need to expand the uterus. However, medical abortion also has its scope of application. Before doing medical abortion, women should first find out whether they are in this range.

Indications:

1. There are no contraindications and the pregnancy is terminated for various reasons;

2. It is suitable for high-risk pregnancy within 8 weeks of pregnancy, those who have difficulty in negative pressure suction or need to terminate pregnancy at high risk, and also for women who have concerns or fears about surgical abortion.

Taboo:

1. Patients with glaucoma and asthma;

2. Heart, liver and kidney diseases and adrenal sebum deficiency;

3. Those who have intrauterine devices, pregnancy and suspected ectopic pregnancy;

4. If you can't go to the hospital in time after taking medicine, it's best not to use medicine to abort, so as to avoid delaying your illness in an emergency.

If you decide to have medical abortion, you should also know some precautions: First, medical abortion is only used to terminate intrauterine pregnancy. B-ultrasound examination must be done before taking medicine to confirm intrauterine pregnancy. The size of fetal sac before taking medicine is about1.0 cm-2.5 cm. Secondly, motherwort granules can be taken after the fetal sac is discharged to reduce the bleeding time caused by decidual residue. In addition, anti-inflammatory drugs should be taken orally to prevent infection.

The general procedure of medical abortion is as follows:

(1) Strict screening before medication, including medical history, general physical examination, gynecological examination and laboratory examination, such as urine pregnancy test, vaginal cleanliness, trichomonas and mold, blood routine and blood type, and B-ultrasound examination when necessary.

(2) The doctor explains in detail the medication method, efficacy and possible side effects of the drug, and can only use the drug after obtaining the consent.

(3) Current dosage: the dosage of mifepristone is 150 ~ 200mg, once every three days. On the third day, I went to the hospital to add prostaglandin preparation: 600 μ g of misoprostol was placed or taken orally in the vagina by carboprost 1 mg. Observe in the hospital for 6 hours.

(4) Monitoring during abortion: During hospitalization observation, in addition to paying attention to blood pressure, pulse and side effects of drugs, the discharged urine should be kept in a clean bedpan, and the presence and absence of fetal sac, its discharge time, fetal sac size and bleeding amount should be checked and recorded by a special person. If there is active bleeding before and after the fetal sac is discharged, uterine contraction can be given or curettage can be performed immediately to stop bleeding.

(5) After 6 hours of observation, if the fetal sac is still not discharged and there is not much bleeding, you can go home for follow-up according to the date specified by the doctor. If the tissue is excreted at home, it must be taken to a doctor for examination.