Do I have to stay in the toilet all the time for medical abortion?

There are many ways to have an abortion after an unexpected pregnancy. Medical abortion is a common way of abortion. No matter which way you choose, abortion will cause great damage to the body. Generally speaking, although medical abortion does not require surgery, many people do not know much about the process of medical abortion. Knowing the process of medical abortion will help you avoid being in a hurry when doing it. Do you have to squat in the toilet all the time when doing medical abortion?

Do I have to stay in the toilet for medical abortion?

Definitely not, because this practice is only for observing whether the excrement has been discharged. We recommend that patients use sanitary napkins. Because if you stay in the toilet all the time, squatting for a long time will consume a lot of physical strength, and the last day of the medical abortion process will still be painful.

Because we have observed that many patients experience severe abdominal pain when taking medical abortion drugs, and the abdominal pain is sometimes accompanied by diarrhea, which is also a side effect of the drug. Therefore, there will be frequent bowel movements or even nausea and vomiting, and they may go to the toilet. But it is absolutely not recommended that patients squat on the toilet all the time. Because squatting for a long time is tiring and painful, and the uterus contracts violently, some people will faint due to excessive blood loss in a short period of time.

Therefore, it is suggested that according to the current industry consensus in large tertiary hospitals, it is best to have a medical abortion observation bed with a toilet next to it. Generally speaking, if you feel uncomfortable, you can lie down and rest. If you feel the fetus is about to be expelled or need to be checked, go to the toilet.

Medical abortion process

1. First, the doctor must determine whether the patient is suitable for medical abortion. The patient's medical history was inquired, and a full physical and gynecological examination was performed on the patient. The examinations performed included urine pregnancy test, vaginal cleanliness, Trichomonas and fungi, blood routine and blood type, etc., and B-ultrasound examination was performed if necessary.

2. After the patient meets the conditions for medical abortion, the doctor must explain to the patient in detail the efficacy of the medication, the usage and dosage of the medication, and the possible side effects of taking the medication. After the patient agrees, the doctor prescribes the medicine to the patient.

3. Patients should take mifepristone orally for the first two days and it is best for them to fast for 1 hour after taking the medicine. When taking mifepristone, the adverse reactions are mild and most women do not feel anything. After taking the medicine, you can go home and work as usual. A few people may experience mild dizziness, abdominal pain, and a small amount of vaginal bleeding. Note: A small number of women will expel the gestational sac by taking mifepristone alone. If the bleeding is not too much, you can keep the discharge in a clean small bottle and take it to the hospital for examination on the third day (the day you originally scheduled to take misoprostol). If the bleeding is heavy, you should immediately take the discharge to the hospital emergency room.

4. Take misoprostol orally on the third day. Do not eat for two hours before and after taking the medicine. After taking misoprostol, about 70% of people will expel the fetal sac within 4-6 hours. It is best to stay in the hospital during this period and have a doctor monitor your bleeding, abdominal pain, and discharge. The fetal sac that is discharged with the blood is usually pink, fleshy tissue, and sometimes a small blister can be seen inside it. If the fetal sac is not expelled during observation in the hospital, pay attention to vaginal discharge after returning home. After 1 week, you should take the discharge to the hospital for a follow-up examination.

5. The duration of vaginal bleeding after medical abortion is generally longer than that of women who undergo curettage. Overall, the average number of days of bleeding is 14-18 days. Therefore, you should return to the hospital for a follow-up check-up about 2 weeks after the miscarriage. If bleeding persists for 3 weeks, or if the amount of bleeding is heavy and accompanied by blood clots, a curettage should be performed promptly to avoid sequelae that may affect future pregnancies.