Can I still get pregnant when I am seven months pregnant?

If you are already seven months pregnant, it is best not to have an abortion, because this is already the late stage of pregnancy. There is no way to have an abortion at this time. If you force an abortion, it will cause some threats to your life. So if you don’t want the fetus in your belly, it is best to have an abortion as soon as possible. In this way, the recovery period will be shorter and the recovery will be faster.

Indications

1) Healthy women aged 18-40 years who are diagnosed with normal intrauterine pregnancy (last menstrual period ≤ 49 days) and voluntarily request to use medication to terminate pregnancy; 2) High-risk candidates for artificial abortion, such as those with reproductive organ malformations (except rudimentary uterine horn), severe pelvic deformity, extremely tilted uterus, cervical dysplasia or tough uterus, scarred uterus, multiple artificial abortions, etc. (Note: Even if these patients choose medical abortion, they still have high-risk factors for medical abortion. The failure rate of medical abortion and the chance of post-abortion bleeding are higher than those of patients without high-risk factors); 3) Those who have concerns or fears about surgical abortion.

Contraindications

1) Contraindications of mifepristone: endocrine diseases such as adrenal glands, diabetes, thyroid glands, abnormal liver and kidney function, history of skin itching during pregnancy, blood diseases and vascular thrombosis, and tumors related to steroid hormones; 2) Contraindications of prostaglandins: cardiovascular diseases such as mitral stenosis, hypertension, hypotension, glaucoma, gastrointestinal dysfunction, asthma, epilepsy, etc., or those who are allergic to prostaglandins; 3) Those with allergic constitutions and those with severe vomiting during pregnancy; 4) Those with anemia and hemoglobin levels of 100g/L or below

5) Pregnancy with an IUD; 6) Ectopic pregnancy or hydatidiform mole; 7) Smokers who smoke more than 10 cigarettes a day or drink excessively; 8) Those who travel frequently, come to Beijing from other places, live far away from medical institutions and cannot seek medical treatment and follow-up in time; 9) Those with untreated genital tract inflammation, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute or chronic pelvic inflammatory disease, sexually transmitted diseases, etc.

Pre-medication treatment

1) The doctor should explain the medication method, efficacy and possible side effects to the recipient, and the recipient can make a voluntary choice; 2) Physical examination and testing are the same as vacuum aspiration; 3) The pros and cons of medical abortion should be explained to pregnant women, and they can make a natural choice.

Directions

Mifepristone: Generally, the first dose is given in the outpatient clinic, and the rest can be taken home by the patient; Prostaglandins: Patients are required to come to the hospital for medication and stay in the hospital for observation, take it on an empty stomach on the morning of the third day, or insert it vaginally and stay in the hospital for observation for 6 hours.

Observation after medication

1) Pay attention to the duration and amount of vaginal bleeding after taking mifepristone . If the amount of bleeding is heavy or tissue is discharged, you should go to the hospital for treatment in time; 2) After using prostaglandins, you should stay in the hospital for observation, blood pressure, pulse, diarrhea, abdominal pain, bleeding, and whether the fetal sac is discharged and any side effects of the medication. If some side effects are more obvious, timely symptomatic treatment can be given. 3) After the fetal sac is expelled, a medical staff will carefully check the discharge (evacuate the uterus at any time if there is a lot of bleeding), and the patient will be discharged after 1 hour of observation. Before leaving the hospital, the patient's blood pressure and pulse will be measured, recorded, and the follow-up date and precautions (2 weeks and 6 weeks after abortion) will be given.

4) Patients whose fetal sac has not been expelled will be discharged from the hospital within 6 hours and will be scheduled for ultrasound examination and follow-up within 1 week. If the abortion fails, vacuum aspiration will be performed for artificial abortion; 5) On the 15th day of medication: all subjects are required to return for a follow-up visit 2 weeks after taking the medication. If the bleeding is more than the menstrual volume, you should go to the original hospital for examination. For patients diagnosed with incomplete abortion through B-ultrasound and HCG examination, uterine curettage should be performed as appropriate and the patient should be sent for pathological examination.