There are various abortive methods, basically, the process you choose depends on the time of pregnancy. If a woman is in the first trimester then the methods available are Abortion pills, manual vacuum aspiration, and aspiration. Out of these abortion pills are most chosen which is discussed below. In the second trimester are curettage and dilation, dilation and evacuation and induced abortion. In the third trimester is not legal in many places and requires a medical reason, the method used are induced abortion and dilation and extraction.
Abortion Pills are another method to get a pregnancy terminated. These pills are profusely used over other methods for the termination of an early pregnancy as they offer a number of advantages. Abortion pills mostly contain two drugs called Mifepristone and Misoprostol, there are various brands that use either of these drugs alone or as a combination. The reason for the wide use of this medication is that It offers to women a tool-free, simple and convenient as it only involves ingestion of pills. These drugs are reasonably priced and very safe, they offer 98% success and are comparatively lesser painful.
Some of the famous brands of abortion pills are:
- RU486, Mifeprex, Mifegyne, Korlym are brands containing Mifepristone
- Cytotec is a Misoprostol brand
- MTP Kit is a Combination brand
All of the brands containing a single drug should be used for a pregnancy not more than 7 weeks old and the combination brand can be used up to 9 weeks.
Mifepristone has anti-progestational activities, it acts on the female hormone called Progesterone and blocks its action, this hormone is essential for sustenance of pregnancy as it supplies oxygen, blood, and vital nutrients to the embryo, the blockade of this hormone results in fetal cell death. Misoprostol is a prostaglandin analog that excludes the fetal cells from the body in form of blood clots, it does so by making the myometrial lining contact in a forceful way, it also dilates the cervix.
The dosing of brands containing Mifepristone is as follows: These brands contain three Mifepristone pills (200mg each) in their pack, these are to be taken on an empty stomach, orally with water. You are required to wait for 2 days and then get the process validated. In case the process is incomplete, take two Misoprostol pills (200mcg each orally or vaginally) and validate the news of abortion after two days.
The Misoprostol brands contain 12 pills of Misoprostol (200 mcg each) these pills can be ingested orally or inserted vaginally by dividing it into a group of 3 containing 4 pills each, taken at a gap of 4 hours. After two days of intake of the medication, get an ultrasonography done to confirm abortion.
MTP Kit contains 5 pills in its pack, it contains one Mifepristone 200mg pill and 4 Misoprostol 200mcg each pill. The Mifepristone pill is to be taken first orally, with water and on an empty stomach, after waiting for two days take the four Misoprostol pills by either oral or vaginal route. On the 14th day, validate the process.
A few adverse effects of this medication are back pain, stomach cramp or pain, diarrhea, wooziness, headache, vaginal bleeding, exhaustion, and vomiting.
- Before going through the process of abortion with these pills you will have to remove the Intrauterine device if there is any.
- Do not get involved in any physically draining tasks and take complete rest to recover faster.
- Do not use these pills for aborting an ectopic pregnancy.
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