Medical abortion
Medical Abortion
Medical abortion is a method of terminating a pregnancy using pharmaceutical drugs. It is a non-surgical procedure that is considered safe and effective when performed under the guidance of a healthcare professional. Medical abortion is typically used in the early stages of pregnancy, up to 10 weeks from the first day of the last menstrual period.
Procedure
Medical abortion involves the administration of two medications: mifepristone and misoprostol.
- Mifepristone: This medication is taken first and works by blocking the hormone progesterone, which is necessary for the pregnancy to continue. Without progesterone, the lining of the uterus breaks down, and the pregnancy cannot continue.
- Misoprostol: Taken 24 to 48 hours after mifepristone, misoprostol causes the uterus to contract and expel the pregnancy tissue. This process is similar to a miscarriage.
The combination of these medications is highly effective, with a success rate of over 95% when used within the first 10 weeks of pregnancy.
Side Effects and Risks
Common side effects of medical abortion include cramping, bleeding, nausea, vomiting, diarrhea, and headache. These symptoms are generally mild and temporary. However, there are potential risks, such as incomplete abortion, infection, or heavy bleeding, which may require further medical intervention.
Legal and Ethical Considerations
The availability and legality of medical abortion vary widely around the world. In some countries, it is readily accessible, while in others, it is heavily restricted or banned. The ethical considerations surrounding medical abortion are complex and often involve debates over women's rights, fetal rights, and religious beliefs.
History
The development of medical abortion began in the 1980s with the synthesis of mifepristone. It was first approved for use in France and China in 1988 and has since been approved in many other countries. The use of medical abortion has increased over the years as it provides a private and less invasive option compared to surgical abortion.
Also see
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Contributors: Kondreddy Naveen, Prab R. Tumpati, MD