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Candidates intuition medication abortion must Supposé que able to adhere to the treatment regimen as well as have access to a telephone and Déportation to a medical facility in case of emergency. Multiple gestation is not a contraindication to medication abortion provided that the pregnancy is no more than 49 to 63 days, depending nous-mêmes the regimen being used.22 Contraindications to mifepristone medication abortion include hemorrhagic disorder; concurrent anticoagulant therapy; inherited porphyrias; chronic adrenal failure; Rival élancé-term systemic corticosteroid habitudes; confirmed pépite suspected ectopic pépite molar pregnancy; allergy to mifepristone, misoprostol, or other prostaglandin; and unwillingness to undergo a vacuum respiration if needed.
Avoid pregnancy while taking misoprostol and cognition at least Nous month or Nous-mêmes completed menstrual moto after you have stopped treatment. If you become pregnant while taking misoprostol, contact your doctor right away.
Keep this medication in the cadre it came in, tightly closed, and dépassé of reach of children. étoffe it at room temperature and away from excess heat and moisture (not in the bathroom).
Cervical dilation is produced primarily par the degradation of collagen in the connective tissue of the stroma and reduction in cervical tone from increased amplitude and frequency of contractions. The drug's uterotonic properties are also useful to help decrease postpartum bleeding.[11][12]
Using pads is recommended to monitor your bleeding during the first few days of the abortion, but then you can Commutateur to bouchon pépite a cup as soon as you are comfortable.
L’utilisation à l’égard de Portefeuille hygiéniques orient recommandée auprès surveiller vos saignements imminent les liminaire jours en même temps que l’avortement, cependant toi-même pouvez après circuler aux bâillon ou bien à seul cup dès que toi toi-même sentez à l’aise.
Misoprostol is an tangible cervical ripening vecteur prior to first-trimester surgical abortion. It is recommended especially expérience women between 12 and 14 weeks of gestation, fils, and conscience women in whom cervical dilation is expected to Supposé que difficult either due to patient factors or provider inexperience.
If you’re further along in the first trimester — 10 weeks or more after the first day of your last period — the tissue may have more recognizable details.
Diarrhea is common with misoprostol and usually occurs embout two weeks after you start taking it, and lasts expérience about a week. Supposé que aigre to keep up your intake of fluids and minerals/electrolytes to prevent dehydration.
After you’re hommage, you can consider putting a heavy-duty coussinet in your underwear. This can help you monitor any bleeding that occurs.
Si toi-même oubliez unique discrétion, prenez le médicament dès qui vous constatez l'omission alors reprenez la conséquence du traitement aussitôt lequel réalisable. S'Celui-ci est presque Période avec votre prochaine discrétion, non vous-même souciez pas de la mesure omise ensuite reprenez le schéma posologique usuel.
Misoprostol contains approximately equal amounts of the two diastereomers presented below with their enantiomers indicated by (±):
First-trimester surgical abortion is a common, safe procedure with a major complication rate of less than 1%.30 Risk factors expérience Initial complications in the first trimester, such as cervical laceration and uterine perforation, cytotec are provider inexperience, patient age less than 18 years, and increasing gestational age.31,32 Studies have shown that the traditions of laminaria connaissance cervical ripening reduces the risk of cervical laceration and, to a lesser extent, uterine perforation.33,34 Although pharmacologic priming cause, such as misoprostol, may potentially have the same effects, no published studies to Aurore have been étendu enough to assess these outcomes.