What is induce abortion

If patients have severe anemia, medical induction should be done only in a hospital so that blood transfusion is readily available.

For pregnancies of progesterone -receptor blocker mifepristone RU and the prostaglandin E1 analog misoprostol , as follows:. Mifepristone mg orally, followed by misoprostol mcg buccally at 24 to 48 hours for pregnancies of 10 to 11 weeks, an additional dose of misoprostol mcg buccally is taken 4 hours after the initial misoprostol dose. Misoprostol may be taken by the patient or given by a clinician. In the US, about half of pregnancies A follow-up visit is required to confirm resolution of the pregnancy and, if necessary, to provide contraception.

After 15 weeks, pretreatment with mifepristone mg 24 to 48 hours before induction reduces induction times. Prostaglandins are used to induce abortion.

Options include. IM injections of prostaglandin F2-alpha dinoprost tromethamine. The typical dose of misoprostol is to mcg vaginally, followed by mcg buccally every 3 hours for up to 5 doses. Adverse effects of prostaglandins include nausea, vomiting, diarrhea, hyperthermia, facial flushing, vasovagal symptoms, bronchospasm, and decreased seizure threshold. Complication rates increase as gestational age increases.

Perforation of the uterus 0. Laceration of the cervix 0. These complications usually occur because placental fragments are retained. If bleeding occurs or infection is suspected, pelvic ultrasonography is done; retained placental fragments may be visible on an ultrasound scan.

Mild inflammation is expected, but if infection is moderate or severe, peritonitis or sepsis may occur. Sterility may result from synechiae in the endometrial cavity Asherman syndrome or tubal fibrosis due to infection.

Forceful dilation of the cervix in more advanced pregnancies may contribute to incompetent cervix Cervical Insufficiency Cervical insufficiency formerly called cervical incompetence is painless cervical dilation resulting in delivery of a live fetus during the 2nd trimester.

Transvaginal cervical ultrasonography However, induced abortion probably does not increase risks for the fetus or woman during subsequent pregnancies. Common methods for abortion are instrumental evacuation of the uterus after cervical dilation or medical induction to induce uterine contractions.

For medical induction, give mifepristone , followed by misoprostol at mifepristone , then give a prostaglandin eg, dinoprostone vaginally, misoprostol vaginally and buccally, prostaglandin F2-alpha IM, or misoprostol vaginally. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.

The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. And use condoms to prevent infection. Counseling for a second-trimester abortion may be more involved than for an early abortion because of the length of the pregnancy and the reason for the abortion. If you have continuing emotional reactions after an abortion, seek counseling from a grief counselor or other licensed mental health professional.

Depression can be triggered when pregnancy hormones change after an abortion. If you have more than 2 weeks of symptoms of depression, such as fatigue, sleep or appetite change, or feelings of sadness, emptiness, anxiety, or irritability, see your doctor about treatment.

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Top of the page. Treatment Overview Starting inducing labor and delivery in the second or third trimester of a pregnancy is done using medicines. Medicines to start early labor can be: Injected into the amniotic sac surrounding the fetus instillation or injected into the fetus. Substances injected include salt water saline , digoxin, or potassium chloride. Inserted into the vagina to start uterine contractions and soften the cervix. This allows uterine contents to pass through the cervix.

Vaginal medicines include prostaglandins , such as misoprostol. Injected into a vein intravenously , or IV to start uterine contractions. Oxytocin Pitocin is commonly used for this purpose.

You and your health care professional should talk about what medications you can take for pain. Ibuprofen or acetaminophen may be an option. You may get a prescription for stronger pain relief if needed. In most cases, it is safe to go back to normal activities soon after an abortion. Your health care professional should explain if you need to limit your activity.

Periods usually return 4 to 6 weeks after an abortion. You can get pregnant even before your period returns. Some birth control methods can be started right away, even the same day as an abortion. The options include. The IUD and implant can be placed right after a procedural abortion. With a medication abortion, the implant can be placed at the time of the first abortion pill or you can get an IUD once your abortion is complete.

A cervical cap or a diaphragm can be used starting about 6 weeks after a second-trimester abortion. This gives the cervix time to return to its normal size. Condoms can be used any time after an abortion to prevent pregnancy and sexually transmitted infections STIs.

Abortion has been legal in the United States since , but health care professionals are not required to provide abortion care. If your health care professional does not provide abortion care, you should be referred to a professional who will. There also are local and national resources that can help you find abortion care. In some states, there are special rules and waiting periods before having an abortion. If a minor cannot or does not want to have their parents or guardian involved, court approval may be required before the abortion.

To learn about abortion laws in your state, go to www. Also, some state laws may require your health care professional to present you with false information regarding the risks of abortion care. Remember, abortion does not increase the risk of breast cancer, depression, or infertility.

All-Options Counseling www. Volunteer staff are not licensed health care professionals or mental health specialists. NAF also offers limited financial assistance to help pay for abortion care. Birth Control Implant: A small, single rod that is inserted under the skin in the upper arm. The implant releases a hormone to prevent pregnancy.

Complications: Diseases or conditions that happen as a result of another disease or condition. An example is pneumonia that occurs as a result of the flu. A complication also can occur as a result of a condition, such as pregnancy. An example of a pregnancy complication is preterm labor. The cervix is opened and the contents of the uterus are removed using instruments and a suction device. Epidural Block: A type of pain medication that is given through a tube placed in the space at the base of the spine.

Induced Abortion: An intervention to end a pregnancy so that it does not result in a live birth. Infertility: The inability to get pregnant after 1 year of having regular sexual intercourse without the use of birth control. Intrauterine Device IUD : A small device that is inserted and left inside the uterus to prevent pregnancy. Intravenous IV Line: A tube inserted into a vein and used to deliver medication or fluids. Regional Anesthesia: The use of drugs to block sensation in a region of the body.

Ultrasound Exam: A test in which sound waves are used to examine inner parts of the body. During pregnancy, ultrasound can be used to check the fetus. Uterus: A muscular organ in the female pelvis.

During pregnancy, this organ holds and nourishes the fetus. Also called the womb. Vacuum Aspiration: Removal of the contents of the uterus using a suction device. Vagina: A tube-like structure surrounded by muscles.

The vagina leads from the uterus to the outside of the body. Copyright by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information. This information is designed as an educational aid for the public. It offers current information and opinions related to women's health.

It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Overview Expand All What is abortion? About 1 in 4 women in the United States will have an abortion by age The health care professional should talk about how the abortion will happen any risks that may come with the procedure instructions about how to care for yourself at home after the abortion.

If you are pregnant, you have several options: You may choose to become a parent.