What happens the next day after a medical abortion?

Many people think that medical abortion is the process of terminating pregnancy by taking mifepristone and prostacyclin in real time. Although medical abortion seems simple, there are many key points to pay attention to in order to reduce the harm of medical abortion to patients. Careful inspections must be carried out before and after medical abortion, and preparations for unexpected accidents should be made at any time during the process. What are the symptoms on the second day after medical abortion?

Generally speaking, mifepristone needs to be taken orally on the second day after medical abortion to kill the embryo and increase the rate of complete abortion. Most people do not have any special reaction after taking mifepristone. Some women may have mild gastrointestinal symptoms such as nausea and vomiting, while others may have a small amount of bleeding and lower abdominal pain. Patients who are sensitive to drugs or who have threatened abortion in the gestational sac may expel the gestational sac on the second day of medical abortion.

If you experience worsening abdominal pain, vaginal bleeding exceeding menstrual volume, or discharge of tissue, you should seek medical attention immediately. Excessive bleeding should be avoided to prevent dizziness caused by excessive bleeding, or even serious complications caused by excessive bleeding and infection. When tissue is discharged, you should keep the tissue and take it to the hospital to see a doctor to identify whether it is fetal sac tissue.

Medical abortion process

Although medical abortion can prevent the damage to the uterus caused by artificial abortion, it will still cause certain pain and damage to the female body. Unless it is absolutely necessary, please do not try medical abortion casually. The process of medical abortion is not complicated, but the whole process takes several days. Let’s take a look at the process of medical abortion below.

1. First, the doctor must determine whether the patient is suitable for medical abortion. Understand the patient's medical history, conduct systemic and gynecological examinations on the patient, including early pregnancy test, leucorrhea cleanliness, trichomonas and fungi, blood routine test and blood type, etc., and perform B-ultrasound examination when necessary.

2. After the patient meets the criteria for medical abortion, the doctor must explain to the patient in detail the efficacy of the medicine, how to use the medicine, how much to use it, and the possible side effects of taking the medicine. After the patient agrees, the doctor gives the medicine to the patient.

3. If the patient took mifepristone orally in the past few days, it is best not to eat for 1 hour after taking the medicine. When taking Mifepristone, the side effects are mild and most women do not feel anything. After taking the medicine, you can go home and continue to work. A few people may experience mild dizziness, abdominal pain, and a small amount of vaginal bleeding. Note: A small number of women (4%-5%) will expel a gestational sac when taking miso only. If the bleeding is slight, you can collect and store the excrement in a clean bottle and take it to the hospital for a physical examination on the third day (the day you originally planned to take miso). If the bleeding is heavy, you should take the excrement to the hospital for emergency treatment immediately.

4. Take misoprostcycline on the third day. Avoid eating for two hours before and after taking the medicine. After taking misoprostcycline, about 70% of people will expel the gestational sac within 4-6 hours. It is best to stay in the hospital during this period and have the doctor observe the bleeding, abdominal pain, and discharge during this period.

5. The gestational sac that is usually discharged with the blood is light pink meaty tissue, and sometimes a small bubble can be seen in it. If the gestational sac is not discharged during the observation period in the hospital, you should pay attention to the vaginal discharge after returning home. After one week, you should bring the excrement to the hospital for a follow-up visit.

6. The duration of vaginal bleeding for women undergoing medical abortion is generally longer than that for women undergoing curettage. Overall, the average number of bleeding days is 14-18 days. Therefore, you should return to the hospital for a follow-up visit about 2 weeks after the abortion. If bleeding continues for 3 weeks without stopping, or if bleeding is heavy and accompanied by blood clots, a curettage should be performed immediately to prevent complications that may affect future pregnancy.