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