Which Women Can Have Medical Abortion
MTP is a reproductive health right for women in India. Any woman can get MTP done under the following circumstances.
- If the life of the woman is in danger or she is going through life-threatening situations and with the help of this procedure, her life can be saved. I Pill Side Effects On Future Pregnancy
- If there is any risk to her mental or physical health by continuing the pregnancy.
- If there is a risk of any physical or mental irregularity in the baby.
- If the woman has become pregnant due to rape or sexual harassment.
- If the woman has become pregnant due to failure of contraception.
- If the abortion is taking place with the consent of the woman.
There are generally two methods used for abortion.
- Medical Abortion: In this abortion is done with the help of medicines.
- Surgical Abortion: Dilation and Evacuation procedure is adopted for abortion.
India has strict laws regarding abortion in which abortion time limit has been fixed. According to this, medical abortion can be done without admitting the woman within seven weeks of pregnancy. In this case, the woman can take the medicines prescribed by the doctor by staying at home. After seven weeks it should be done under medical supervision and for this the woman has to be admitted to the hospital for a day. This is because there is a risk of some problems for the woman after having an abortion after seven weeks. I Pill Side Effects On Future Pregnancy
Lack Of Access To Treatment
Medical abortions are typically completed at home, meaning most women expel the pregnancy tissue without medical supervision. While the abortion pill seems fairly straightforward, its still a serious medical procedure and can lead to serious health complications. Because of this, its recommended that women avoid taking the abortion pill if they do not have access to convenient emergency healthcare in the case of a complication.
Can Having An Abortion Affect Future Fertility The Research Says No
First, it’s important to understand that the belief that abortion could impact fertility is grounded in the very real history of infertility caused by unsafe underground abortions.
“There is no plausible reason to associate infertility with abortion outside of rare cases of severe uterine damage and severe infections/PID like those of the ‘abortion sepsis wards‘ in hospitals from the 1960s,” Dr. Conti explains. Outside of some of the rare complications we’ll cover below, “a person having an abortion has already proven they can get pregnant and the simple act of the uterus evacuating a pregnancy without complication doesn’t affect the ability to get pregnant again.”
ACOG confirms that having an abortion doesn’tincrease the risk of infertility. In 2018, a panel organized by the National Academies of Sciences, Engineering, and Medicine examined all of the available research and backed up ACOG’s position. Their report highlights a 2016 study published in BMC Pregnancy and Childbirth as the only one that met its selection criteria: This study examined the Finnish National Birth Registry data from 2008 to 2010 against the Induced Abortion Registry data from 1983 to 2007. In reviewing the data from follow-up visits for the 5,167 women who were eligible for the study and had past abortions, researchers found no evidence of a link between abortion and secondary infertility.
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Talking About Your Abortion
Although induced abortion is common, no one must know you had an abortion. You can tell whoever you are comfortable telling â you might be surprised at the support you receive from others. Your physician or healthcare provider will not be able to âtellâ that you had an abortion. There are no lab tests to detect the medication abortion drugs in your blood stream. If you take the misoprostol in your mouth or rectally , there will be no evidence of the pills. If you place the pills vaginally, there could be some residual pill material left in your vagina, especially if you do not experience any bleeding.
Procedural abortion involves stretching your cervix and gentle suction â there are no âscarsâ after and there is no physical evidence of a procedure. If your healthcare provider knows you were pregnant, or tests you for pregnancy immediately after an abortion, you can say you had a miscarriage. You do not have to disclose that you had an induced abortion if you do not feel safe or comfortable.
What Happens When You Take The Abortion Pill
The abortion pill is actually a combination of what is usually two kinds of pills that are taken in sequence. In the U.S. these are most often used before 11 weeks of pregnancy.
The first pill, mifepristone, blocks a hormone necessary for a pregnancy to continue to develop. Most people swallow this first pill in our office. A small number of people see some vaginal bleeding after taking mifepristone, but its not common.
The second pill, misoprostol, causes cramping and bleeding from the vagina so that the pregnancy will leave your body . It is usually taken at home within 72 hours after taking the first pill.
Most people start to see cramping and bleeding within about an hour after taking the misoprostol, though some take longer. Its normal to feel chills, nausea or even have diarrhea along with bleeding and cramping while your body is pushing the pregnancy from your uterus.
Its kind of like having a really heavy, crampy period along with mild flu-like symptoms. It is good to have some thick overnite type maxi pads ready along with a heating pad to help with cramping. carafem provides anti-nausea and pain medication to help handle these symptoms.
For most people, the heaviest bleeding and cramping ends once the pregnancy has passed, usually within 3-4 hours. It is important to plan for possible vaginal bleeding to continue after any type of abortion. Some see light bleeding that lasts up until their next period starts, which is usually within about 4-6 weeks.
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What Are The Common Side Effects Of The Abortion Pill
A medical abortion can cause some unpleasant side effects especially after you take misoprostol. Side effects usually start within 2 to 24 hours of taking it.
Its best to take misoprostol in a place where you feel comfortable and have everything you need. It might be a good idea to plan ahead and clear your schedule that day , if possible. Below are a few things to expect.
Heavy Bleeding That Requires Surgery
Although bleeding is normal, there are certain situations that may require medical attention. For example, if youre bleeding through two full-size sanitary pads every hour for at least 2 hours or if youre concerned about how much youre bleeding contact your healthcare provider right away.
Surgical procedure options may include:
Surgical aspiration: A type of surgical abortion that uses gentle suction to remove a pregnancy.
Dilation and curettage : A surgical procedure that uses a scraping or suction tool to remove tissue from the uterus.
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Limitations Of The Literature
While randomized controlled trials are the gold standard research design for assessing the health effects of a medical intervention, they are not appropriate for studies assessing the long-term risks of abortion. Women seeking an abortion cannot be randomized to an experimental group that has the abortion or a control group that does not have the abortion. Researchers must use observational study designs to examine abortions long-term potential for harm. However, the risk of bias is greater for observational studies than for randomized studies, and it is imperative that published studies be assessed for potential sources of bias that might affect their findings . In research, bias refers to systematic error in a studys design or execution that leads to an incorrect result .
What Happens During A Medication Abortion
The abortion pill process has several steps and includes two different medicines.
First, you take a pill called mifepristone. This medicine stops the pregnancy from growing. Some people feel nauseous or start bleeding after taking mifepristone, but its not common. Your doctor or nurse may also give you antibiotics to take to prevent infection.
The second medicine is called misoprostol. Youll either take the misoprostol right away, or up to 48 hours after you take the first pill your doctor or nurse will let you know how and when to take it. This medicine causes cramping and bleeding to empty your uterus.
For most people, the cramping and bleeding usually starts 1-4 hours after taking the misoprostol. Its normal to see large blood clots or clumps of tissue when this is happening. Its kind of like having a really heavy, crampy period, and the process is very similar to an early miscarriage.
The cramping and bleeding can last for several hours. Most people finish passing the pregnancy tissue in 4-5 hours, but it may take longer. The cramping and bleeding slows down after the pregnancy tissue comes out. You may have cramping on and off for 1 or 2 more days.
You can take pain medicine like ibuprofen about 30 minutes before you take the second medicine, misoprostol, to help with cramps. You can also take anti-nausea medicine if your doctor or nurse gives it to you. Dont take aspirin, because it can make you bleed more.
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What Is An Abortion Pill
One of the most common and quick ways is to successfully terminate a developing pregnancy is through prescription pills used for abortions like misoprostol and mifepristone. These pills are commonly confused with a form of contraception called the morning after pill, abortion pills are not a form of contraception and are different from the morning after pill which works to stop a pregnancy whereas the abortion pill is used to end the pregnancy after an ovary has successfully been fertilized.
How Painful Is A Medical Abortion
The pain varies from one woman to another. Some women report feeling extremely ill, while others describe having a very heavy period accompanied by a lot of bleeding and painful cramps. In essence, medication abortion has similar symptoms to a miscarriage. In addition to bleeding and cramping, women tend to also experience:
- And more .
The other, perhaps unexpected, pain may be emotional. Indeed, a woman who goes through the entire process alone may feel isolated and vulnerable, especially in cases when the pain is extreme. Its important to know that help is available, which is why Lifeline exists: so that no woman has to go through an unexpected pregnancy alone.
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Is It Safe To Get Treated For Chlamydia While Pregnant
Pregnant women can take antibiotics that treat chlamydia without experiencing any side effects. It is possible for your practitioner to prescribe an antibiotic that you take in one dose or one that you take over a weeks time. It is important to take the medicine as prescribed. The infection will usually be cured by one round of treatment.
How Does The Abortion Pill Work
A step-by-step guide of the abortion pill procedure is listed below:
- Sign the liability waiver.
- The first pill Mifepristone: This pill is responsible for the blocking of progesterone, this is a critical pregnancy hormone. This pill ensures the uterus doesnt recognize the presence of this hormone and that causes the uterus lining to break down, this halts the progress of the pregnancy by causing the embryo to break down. This pill must be taken in the presence of a doctor
- The second pill Misoprostol: This pill causes the uterus to contract and push out the developing embryo, embryonic sac and the uterus lining, this means it pushes out the embryo of the developing baby that is terminated by mifepristone. This process can cause severe cramping and heavy bleeding for a day or two. If it continues after, then please visit your closest ER.
- Visit the clinic: Once the pills have been consumed and a couple of weeks have passed visit your doctor, this is to ensure that the abortion was successful and that embryo is out of your system, if the embryo stays in your system post-abortion, it can cause infections that can result in permanent damage.
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When You Can Take Abortion Pill
Pregnancy termination by a pill can only be done provided the embryo is not developed enough, this means that the latest you can wait when using the pill is between 60-70 days, it is, however, recommended that you use this pill as early as possible. The earliest you can take a pill safely to abort the pregnancy is the during the initial ten weeks of pregnancy and a week after your last menstrual cycle.
To terminate a pregnancy after 70 days, it is recommended that you consider a surgical abortion, this is because a pill may not be safe as the embryo is further along and this may complicate the abortion. To learn about the surgical option for abortion and what kind of abortion is right for you, please consult your personal medical specialist.
Can The Effects Of The Pill Be Reversed After It Has Been Taken
Unfortunately, once the pill has been taken it is impossible to reverse its effects. Learn about all your available options before choosing abortion. Understand the risks and finality of abortion and consult your partner before choosing to terminate your child, after the abortion, it is highly recommended that you follow your doctors guidelines for post-abortion care. Do not miss your appointments for follow-ups and ensure you discuss your fears and address them before taking the pill. Remember, the decision to have an abortion is not a light one, it can cause trauma psychologically as well, please consult a therapist after the abortion to fight off depression.
Having an abortion should never be forced on a woman, remember, this is your body and your choice, always enforce your rights to either have or abort the child. Forcing an abortion or forcing a woman to keep the child against her will is illegal and a criminal offence, it is also extremely dangerous for their body.
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How To Use The Abortion Pill
Women have to take two different types of pills. After 36-48 hours of taking the first pill under the supervision of the doctor, one has to come to the doctor again to take the second pill.
The first pill prepares the uterus for abortion. Let us tell you that the cervix supports the developing fetus in the womb and this medicine softens that cervix. In addition, it inhibits progesterone and breaks down the surface of the uterus. On the other hand, the second pill helps in contracting the uterus, due to which the uterine lining with the fetus comes out.
Generally, abortion pills are recommended in the early weeks of pregnancy, after which surgical abortion is considered appropriate. Although medical abortion is valid till 20 weeks of pregnancy, but after 12 weeks according to the MTP Act, you can do it only after consulting at least two gynecologists. I Pill Side Effects On Future Pregnancy
How Can I Use Sugar To Terminate A Pregnancy
Sugar cannot terminate a pregnancy. It is not wise to try such methods. Mifepristone and Misoprostol are available to terminate a pregnancy and they are effective and safe. By trying to abort with sugar one will waste precious time and delay taking tablets and thereby compromise on the success of the tablets.
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You May Want To Know In The Future
You may be scared right now, which is normal. Nonetheless, are you okay with making a decision that will impact the rest of your life without having all the information? Think about other scenarios not related to pregnancy. Would you agree to a surgery without first making sure you need it? Would you travel to a country without knowing whether it is war-free? These are only a couple examples and you can probably come up with more ideas, but the point is the same. You probably wouldnt make a decision in haste, simply out of fear. While fear is natural, talking to someone about it may help you make a decision with a clear mind. A decision that you will be able to fully understand and own. Dont let fear dictate your life.
How Long Can You Have Chlamydia Before It Causes Damage
Infections usually appear within one to three weeks after they occur, and they may be mild in nature. Chlamydia can damage the reproductive system if not treated. The CDC reports that women who are infected with chlamydial can develop pelvic inflammatory disease if they spread the infection to their uterus or fallopian tubes.
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Does Medical Abortion Affect Future Pregnancy
Normally an abortion does not cause infertility that the fetus is not growing. You just get expelled from the uterus so the tubes are not involved in a normal miscarriage in any way, but sometimes a small piece can be retained when the uterus is ending the fight. Inside these, we can maintain the products of conception, when a small piece of the placenta or a small piece of the baby is placed inside, it can set up an infection in the uterus.
This infection can go on and spread in the tubes if the tubes get infected. They may have a tubal blockage. It probably occurs in 10 to 15 percent. In abortions where adequate precautions were not taken to prevent infection, the chances of infertility in a properly operated abortion are generally very low. So fertility is usually not affected to assure an abortion but yes there is a short condition.