The difference between medical abortion and surgical abortion

There is a big difference between medical abortion and surgical abortion. It is best to choose medical abortion. After all, surgical abortion still has certain risks. If your physical condition does not allow it, you must not use surgical abortion, because it will cause greater harm to the body. Relatively speaking, medical abortion will cause less damage to your body, and recovery will be faster without any surgery.

Medical abortion, also known as drug abortion, refers to the use of Mifepristone tablets plus misoprostol to terminate early pregnancy. In recent years, it has been widely used in clinical practice and is a very popular drug for preventing early pregnancy. It can achieve artificial abortion in the early stages of pregnancy without the need for surgery, but by injection or medication. The use of drugs to terminate pregnancy and medical abortion is the latest development in the past 20 years. Currently, the commonly used drugs are mifepristone tablets (Ru 486) and prostaglandins. The former causes degeneration and necrosis of the uterine decidua and softening of the cervix, while the latter causes uterine contraction and promotes the expulsion of the embryo.

1. Strict screening before medication, including asking about medical history, conducting a full physical examination and gynecological examination, and laboratory tests such as urine pregnancy test, vaginal cleanliness, Trichomonas and fungi, blood routine and blood type, and B-ultrasound examination.

2. The doctor explains in detail how to take the medication, the efficacy of the medication and possible side effects. The patient can only use the medication after he or she understands and signs.

3. Monitoring during abortion: During the hospitalization observation period, in addition to paying attention to blood pressure, pulse, and side effects of drugs, all urine and feces must be retained in a clean bedpan, and a dedicated person will check and record the presence of a gestational sac and its discharge time, the size of the gestational sac, and the amount of bleeding. If there is active bleeding before or after the expulsion of the fetal sac, uterotonics can be given or curettage can be performed immediately to stop the bleeding.

If the fetal sac has not been expelled after 6 hours of observation and the bleeding is not too much, you can go home and follow up on the date prescribed by the doctor. If tissue is passed at home, it should be brought to the doctor for examination. If vaginal bleeding is more than normal menstrual flow, go to the hospital for treatment in time.

Medical abortion is suitable for terminating a pregnancy within 49 days. After using the drug, the activity of progesterone in the body decreases, causing miscarriage. The drug is then used to cause the uterus to contract strongly, forcing the pregnancy tissue out of the body.

Medical abortion is a method of using drugs to cause degeneration and necrosis of the uterine decidua, soften the cervix, and simultaneously cause the uterus to contract, forcing the embryo out of the body. During this process, the patient will feel pain in the lower abdomen due to uterine contractions, and the pain will vary depending on individual tolerance.