Abortion pills: What you need to know about it

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Medical Abortion:

Medicated abortion pills is one of the two methods recognize in France for ending an un want pregnancy. Medical abortion tablet is more practical than surgical abortion, but it is not suitable in all cases. How is this “pill” aborted? How quickly can it be used? Is it very painful? Expert Answers A medical abortion is perform by taking a pill to end the pregnancy and expel the embryo. Today, medical abortions are perform in hospitals, health centers and family planning centers contract with health centers, and in town halls (by doctors or midwives contract with health centers).

Medication abortion is the most common method of abortion.

In theory, a woman should be able to choose between the “abortion pills” and “voluntary abortion,” in which the contents of the uterus are suction out under local or general anesthesia in a hospital.

“Abortion is fine if the woman chooses it. However, the choice today depends on the care provide,” emphasizes Dr. Sophie Gordy, an obstetrician and gynecologist.

“Local anesthesia is a less painful and faster solution, but it’s not commonly use. General anesthesia is mainly performe in public facilities and can be time-consuming. Prescribing medications requires fewer resources than instrumental or surgical abortions, which explains why medication abortions are most commonly offer to patients.

How long does a medical abortion take at home or in the hospital?

In the hospital, a medical abortion can be perform up to 9 weeks after your last period.

To limit the consequences of the measures taken in the face of the Covid 19 epidemic, in April 2020, the time limit for seeking a medical abortion in urban areas (at home and in the office) was also increase to 9 weeks instead of the usual 7 weeks (decree publishes in the Official Gazette on November 7, 2020 – source 2).

Dr. Marie-Laure Brivla, obstetrician and gynecologist at AP-HP, explains, “It is estimate that women can receive up to nine weeks for drug treatment in terms of pain and bleeding. The pain is significant, the wait is long, up to eight hours in the hospital, and the bleeding is heavy. Not all women want to be in this situation, but they should have a choice. If they do, they need pain management up to and including epidural anesthesia and psychological support.

Medical abortion in the city for up to 9 weeks:

HAS wants to make this period permanent. In a press release date April 12, 2021  the High Authority of Health (HAS) proposes to extend the duration of medical IGV in the city to 9 weeks of amenorrhea (after the last menstrual period).

The goal is to “shorten the duration of medical abortion and expand care in cities and hospitals, while easing the burden on health facilities that must focus on surgical abortions. HAS states, “We believe that.

A doctor or midwife can perform a medical abortion within the nine-week amenorrhea period as part of the activities of a town hall, education and family planning center (CPEF), or health center. Each woman must make an appointment within five days of calling. Pre-abortion medical consultation can be done in person or remotely if the woman agrees and the doctor or midwife deems it possible.” Before undergoing a medical abortion, you need two initial consultations.

Two initial consultations are necessary before a medical abortion.

During the first visit, the doctor will collect information about the patient’s medical history and health status, check for contraindications (drug allergies, coagulation disorders, ectopic pregnancy, etc.) and perform the necessary tests before the abortion (blood type and ultrasound to determine pregnancy).

Medical education for the patient The aim is also to inform the patient about the different medical aspects of the procedure, in particular the need for a test at two weeks to have a chance of continuing the pregnancy, and the obligation to use surgical methods if the medication has not been successful and the woman still wants to terminate the pregnancy.

Psychological support

The consultation also allows the doctor or midwife to offer the patient (who decides whether to benefit or not) the support and listening of a marriage and family counselor. Note: In the case of minors, parental permission is not necessary, but in the case of medical abortions, an adult must accompany the patient.

“This first consultation should also be an opportunity to explore the possibility of domestic violence in the woman, in order to help her if necessary,” says HAS.

When is the second consultation before the abortion?

After the psychosocial consultation, there is a 48-hour reflection period between the first and second consultation. If the consultation does not take place, there will no longer be a minimum period before the second consultation. At the second consultation, the doctor or midwife will give you a certificate of the first consultation. Each patient will then confirm his or her wishes in writing and decide on the method and place of the procedure in consultation with the doctor or midwife. After the consultation, she will receive a second certificate and can start the procedure.

Is medical abortion painful?

Obstetrician Teddy Linette says: “Women are concern about how much blood they are going to lose and how long it will last. About 60% of egg expulsion occurs within four hours. If a second medication is taken, 40% will occur within 24 to 72 hours.” It is accompanies by hemorrhage, which may be pronounce and persistent. The pain can be very intense. Uterine contractions cause pain similar to that of menstruation, although it can be stronger or weaker depending on the woman: according to a study conduct by the Inseam team at the Future Foundation in 2016 in 11 abortion centers , 27% of women who underwent a medical abortion experience very severe pain after taking the second pill. About 83% had taken painkillers.

In addition, 88% felt “very tire.” The French National Association of Gynecologists and Obstetricians recommends the use of analgesics, being more effective than paracetamol.

Other side effects can include nausea, dizziness, headache, diarrhea and vomiting. “You may need to take an anti-nausea medication, especially if you dissolve the Misoprostol under your tongue or between your cheek and gum,” says Dr. Linnet.

If you have a medical abortion pills at home, “we ask you to come to the center urgently if you use more than two pads per hour for more than two hours, or if the pain persists despite the use of painkillers,” he continues.

“The gynecologist adds: “Some women need to see the released eggs to make sure they are progressing well, while others do not want to see anything.

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