How Does the Abortion Pill Terminate a Pregnancy?

If you want to terminate a pregnancy in the first 12 weeks of gestation, you have a choice of two methods: 1) surgical dilation and curettage (D&C) or medical abortion or the abortion pill. The abortion pill method has gained popularity since it was approved by the FDA in the United States in 2000. Studies show that women who have used both surgery and the abortion pill choose to use the Abortion tablets in UAE. The advantage of the abortion pill method is that there is a 94-99% chance that there will be no surgery, the patient can be accompanied by her partner at the time of the abortion procedure, the abortion procedure takes place in the patient’s controlled environment, and it allows for greater privacy.

At the first office visit for women who choose the abortion pill, a pregnancy test is first performed to verify the existence of a pregnancy. A urine prick test is done to make sure there is no bladder infection, protein or glucose in the urine, and several other screening tests to make sure the patient’s health is good. A blood test is done to check for anemia and Rh screening. Patients also undergo an abdominal and/or pelvic ultrasound to determine the number of weeks pregnant.

Pregnancy counseling is provided to review the benefits and risks of the procedure. It is also determined if patients are forced to terminate their pregnancy. If so, the facility will not perform the procedure.

Patients are then given the pill RU 486 (Mifeprex or Mifepristone), which they must take before going home. This medication stops the development of the pregnancy by blocking the hormone progesterone. The pregnancy then detaches from the wall of the uterus, the cervix softens and intrauterine pressure increases, which can result in the expulsion of more than 50% of the fetal tissue in 24 to 48 hours. Patients receive a second medication, Cytotec (misoprostol), which causes the uterus to contract and must be taken 24 to 96 hours after leaving the office.

After taking the misoprostol tablets, uterine contractions usually begin within 4 to 6 hours and vaginal bleeding begins soon after. Pregnancy tissue passes within 4 to 8 hours after taking misoprostol tablets. It can take anywhere from 24 hours to 30 days for all the gestational tissue to be eliminated. Bleeding normally lasts up to 14 days, but has been known to last from 30 to 60 days.

Patients return 1 to 2 weeks after the first office visit and have another ultrasound to ensure that the gestational tissue has left the uterus. If patients are not able to make this second visit, they are not candidates for the abortion pill procedure.

Complications that can occur with the use of the abortion pill include heavy vaginal bleeding, retention of pregnancy tissue (see article) or uterine infection, which occur in less than 1% of cases. The abortion pill procedure is safe and very effective in terminating abortions from 3 to 12 weeks gestation.

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