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Medical abortion

Previously, abortion was performed only as a surgical procedure. Since 1992, it is also possible to perform abortions on a medical path. In 2017, the proportion of medical abortions, up to and including pregnancy week 9, was 95.5%. Most abortions are done early in pregnancy week six to seven.

Medical abortion

What is medical abortion?

In medical abortion, two rounds of tablets, mifepristone and misoprostol, are taken. The first preparation softens the cervix, increases uterine contractions and its sensitivity to misoprostol, and thus contributes to the uterus ejecting its contents.

The combination of these preparations is today the standard method for medically induced abortion. There must be some time between the two treatments to achieve the very best effect. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity sleep bras. When the pregnancy arrives at a later stage, the treatment with misoprostol must be given in repeated doses. After week twelve, all abortion treatments are done with medical treatment.

The medical abortion is similar to a miscarriage and occurs by softening the cervix, opening and expelling the pregnancy with contractions and bleeding.

Patient Rights

The abortion law gives the woman the right to decide before the eighteenth week of pregnancy whether she wants to abort or complete a pregnancy.

Who can do medical abortion?

In Sweden, medical abortion is now offered to all women who seek abortion up to nine weeks of pregnancy. At several clinics, medical abortion treatment is also offered at week nine to twelve.

How is the treatment performed?

The abortion begins with a tablet containing mifepristone. The active substance in the tablet prevents the uterus from responding to the body's own pregnancy-promoting hormone, progesterone. You have to swallow the tablet at the clinic but can then go home after about 30-60 minutes. By taking this tablet, the abortion has begun, but you do not need to feel any effect of the tablet. Sometimes you can start bleeding and in rare cases the bleeding can be plentiful and the abortion can happen after the first tablet.

After taking the mifepristone tablet, you should live as normally as possible. You either take the second round of tablets with you or return to the hospital after about one to three days (24-72 hours). During these three days, you may experience nausea or contractions. Bleeding also occurs, the bleeding can sometimes be severe and contain blood clots.

After one to three days, treatment with misoprostol continues. The treatment now continues with the drug misoprostol being inserted into the vagina. You should insert four tablets as deep into the vagina as possible. Sometimes the tablets can be given in a different way or in a different dose, which the staff will then inform about. Misoprostol causes the uterus to contract and the pregnancy to be ejected. Most people will abort within a few hours, but sometimes it may take longer.

At a gestational age of up to week nine, the woman can choose whether she wants to take misoprostol at home or in the clinic. An increasing number of women choose to undergo portions of the abortion at home, ie taking the second round of tablets (misoprostol) at home after starting the abortion at the clinic with tablets (mifepristone).

Anyone who chooses to carry out the abortion at home will bring home:

  • Misoprostoltabletterna.
  • Painkillers treatment.
  • Information needed.

If you do the treatment at home you should not be alone, it is good to have someone with you. Anyone who chooses treatment at the clinic can bring their partner, friend, parent or anyone else. Contact the clinic if there are any questions! Treatment at home is safe and preferred by most.

After week nine, it is recommended that the abortion be performed with a few hours of hospitalization during the misoprostol treatment.

Follow-up inspections

After treatment, in the hospital or at home, most people bleed in decreasing amount for about 14 days. However, bleeding can last for a long time, but should gradually subside.

Verification that the abortion is complete is usually done through a urine test. Many people prefer to bring a test home to do the post-check. This is done at 2-3 weeks after the abortion treatment. If the test is positive or difficult to interpret, or if the symptoms of pregnancy persist or recur, it is important to contact the clinic. Sometimes blood tests and / or a gynecological examination and an ultrasound examination may be needed. If the abortion treatment fails, the pregnancy must be terminated by a new course of treatment or by a surgical method. This is rare but can be difficult to detect on your own. The bleeding itself is not proof that the abortion is complete. Therefore, it is important to do a post-check test or to book a return visit for this at the clinic.

For those who have chosen a spiral after the abortion, the post-check can be done in conjunction with the insertion of the spiral after 1-3 weeks.

Side effects

The abortion treatment is associated with pain due to uterine contractions and widening of the cervix. You get pain relief if and when you need it. After the abortion, menstrual-like bleeding is common for two weeks, sometimes longer. It is important to contact the clinic at:

  • Increasing or heavy bleeding.
  • Affected general condition.
  • Signs of infection.

Some may experience nausea and fatigue. The risk of infection is low, but infection can always occur in connection with an abortion.

Impact on later pregnancies?

The possibility of having children in the future is not affected by an early medical or surgical abortion without complications.

 

 

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