medical abortion

Since the 1990s, the development of drug delivery therapy has become more and more perfect. The advantage is that the method is simple, no intrauterine operation, and non-invasive. Clinical use of mifepristone in combination with prostaglandin for drug flow, more than 80% of the sac is discharged on the day of observation, about 70% of the aponeurosis is cleared within 2 weeks, 1% lasts for more than 50 to 70 days. Treatment of diseases: early pregnancy Indication 1. Menopausal women who are determined to be intrauterine pregnancy within 49 days and who are under the age of 40 and who voluntarily require termination of pregnancy. 2. People without a history of chronic disease or allergic asthma. 3. Those who were diagnosed as positive by B-ultrasound and urine pregnancy test. 4. Women who have not received glucocorticoid therapy in the past 3 months. Contraindications 1. Mifepristone drug contraindications: endocrine diseases (such as adrenal diseases, diabetes, thyroid diseases, etc.), liver or kidney dysfunction, benign or malignant tumors of various organs, blood diseases or thrombotic diseases, high blood pressure, etc. 2. Prostaglandin drug contraindications: heart disease, glaucoma, asthma, gastrointestinal disorders and allergies. 3. Pregnancy with intrauterine device. 4. Suspicious ectopic pregnancy. Preoperative preparation [Preparation before medication] 1. B ultrasound diagnosis of intrauterine pregnancy and pregnancy size. 2. Hematuria routine and liver function tests if necessary. Surgical procedure [method and dose] 1. Pregnancy is less than 49 days: mifepristone is 50mg late 25mg on the first day, 25mg in the morning and evening the next day, 25mg on the third day, 600g of misoprostol after 1 hour, no fetal sac discharge after 3 hours , by 200g per hour per hour, until the fetal sac is discharged, the total amount can reach 1200g. 2. Pregnancy 10 to 16 weeks: mifepristone 500mg 2 times / day, a total of two days, the third day of vaginal posterior iliac crest placed card pregnancy suppository, placed 1mg every two hours, until the pregnancy discharge, the highest dose of 5mg. Or place 600 g of misoprostol once every 3 hours with a maximum dose of 1800 g. Close observation after medication, such as failure to timely termination of pregnancy. complication 1. The drugs used in clinical "drug flow" are mainly for the treatment of progesterone such as mifepristone, carboprost, and ceipone. After taking it, except for nausea, vomiting, abdominal pain, diarrhea and other digestive tracts. In addition to the reaction, it also has certain adverse effects on the liver and kidneys. If women with liver and kidney dysfunction, taking these drugs may increase the burden of liver and kidney, induce liver and kidney disease, or further aggravate the original disease. 2, after the drug flow, the general vaginal bleeding is more than 5-10 days, some bleeding 2-3 weeks, it is easy to cause anemia. Some pregnant women can only discharge part of the embryo after the drug flow, and even can not discharge the embryo, causing vaginal bleeding for several months, and even more, there will be fatal bleeding. If such a situation does not occur in time, vaginal dripping bleeding continues, can induce pelvic inflammatory disease, causing obstruction of the fallopian tube, secondary infertility; some will leave behind the symptoms of backache and abdominal pain.

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