To choose medical abortion, we should be careful

“Early pregnancy’s Gospel – the use of the latest drugs, medication only 9, you can interrupt her pregnancy. Safe, efficient, without surgery, painless, does not affect fertility.” This is a newspaper published in the country a medical abortion ad. In recent years, the size of newspapers across the country is full of such compelling ads. Behind the overwhelming advertising in large to the provincial and municipal hospitals, as small as an individual out-patient clinics have been offering the drug abortion services. The face of flowery advertising and blossom everywhere in “clinics”, one wonders: medical abortion, pregnancy is really a blessing those who do?

Medical abortion, not contraception

Medical abortion really “pain-free, efficient, no after-effects”, we left aside, but it is after all man-made physical harm to women, such abortion ad is called “good news” I do not know what “blessing” can that be? In fact, the controversy surrounding medical abortion as early as the beginning of oral abortifacient birth arose.

The early 80s, the French scientist invented a medicine called “RU486″ abortion oral medicine through the clinical tests, a success rate of 95%. Just swallow pills not fresh on the safe and speedy completion of the abortion process, which is almost every implementation of the abortion, women’s wishes. The advent of RU486 should be said that in terms of abortion technique is revolutionary. Subsequent outbreak of debate about this “kill pill” is consistent with humanitarian “argument, the Western medical scientists, ethicists, jurists have rolled in, but aroused strong opposition from anti-abortion activists.

Only from the medical point of view, the Western world have different attitudes to the RU486: in France, 1988, allows the use of about one-third of abortions of women choose to take; British woman is to accept more slowly in 1991, began to be allowed to use this drug , the recipient has only one-tenth; while women in the United States after 2000 trials, only in 1996, to allow official use. The early 90s, RU486 used in China for the first time, after years of rapid diffusion of the drug across the country to open to.

Since not fresh pill could solve the problem, sex is not no longer have to worry about it? Is not true. Only in the non-medical abortion pregnancy care after a remedy can not solve the issue of contraception. The mechanism of RU486 by chemical methods so that a fertilized egg can not develop, then necrosis and shedding. Now there were only a few manufacturers can produce the drug, its Chinese name “mifepristone” or “implicit interest rate.” After taking the drug, but also with the clothes another drug, in the dual role of two kinds of drugs, the fertilized egg can be completely eliminated from the body.

The efficacy of this drug looks very simple: to swallow a medicine, pregnancy, immediately suspended. In fact the process is not so simple, it is far easier than imagined quickly. First, the physical condition to adapt to the requirements of taking this drug, but also in 2 days to 4 days after another dose of nine drugs. From the date of abortion should be two weeks time ready to go to hospital for examination, even though abortion has been completely determined, but also more than 1 weeks after the referral back to the hospital. Medication after the pain caused by uterine contraction no less than abortion and light, there will be 10 days after abortion continued bleeding, and some people bleeding time longer, or even bleeding, but this issue is still without a solution was available. In addition, there will be a number of adverse reactions after medication, infection is the greatest potential hazard.

Expert advice so

RU486, but 10 years since the birth of time, the prognosis is still no way of knowing the problem, the Western researchers to remind the drug may damage the immune system; while domestic Obstetrics and Gynecology doctors advice, medical abortion complicated gynecological disease rate of 70%. If the surgical abortion and medical abortion to make some comparison, we can easily find: both in the body caused by injury, pain and the time required, and will face the risk is almost the same. The cost of medical abortion in our country than the surgical costs three times more expensive to 5 times. In the actual investigation, we found that pregnancy is willing to choose this method of abortion, women already account for half. The data show that from the hospital had received medical abortion and surgical abortion in pregnant women ratio is 1:3, and the proportion of the former is increasing. “Maintaining self-esteem and right to privacy” and “may not leave a rest” is one of many women’s choice of the main reasons for medical abortion. Furthermore, for some people, surgery is completely passive, while the medication is to take the initiative to control their own destiny methods. However, from a scientific point of view, must not ignore the doctor’s advice.

As the implementation of the RU486 clinical trials in an international non-profit study group, said: “This drug is not a panacea, both an advantage and a risk.” The fact true, and if ignored doctor’s advice, the risk will be even greater, France on the Women in medicine have occurred in the course of a heart attack and died an example; There are also a result of an ectopic pregnancy is not in accordance with standard medication to cause death cases.

The face of the increasingly popular “medical abortion hot”, those who are ready for medical abortion Obstetrics and Gynecology, ladies may wish to listen to expert advice:

● medication must be stopped within 45 days after conception, age at 34 years of age;

● in good physical condition, no contraindications. The so-called contraindications include: suffered, are suffering from heavy systemic disease, liver and kidney dysfunction, allergies, heart disease, high blood pressure, anemia, asthma, glaucoma, pregnancy skin, itching and so on, and suspected ectopic pregnancy, long-term large medication, smoking 10 cigarettes or more per day, alcohol, etc.;

● medication before doing B-mode ultrasound to confirm intrauterine pregnancy;

● abortion rest for at least 3 days to 5 days;

● strict compliance with doctor’s orders, on time and referral;

● can not be continuous medication;

● choice of hospital treatment must have emergency conditions (which can be an emergency curettage, infusion and transfusion);

● can not be used as a contraceptive medication to take.

After all, contraception, medical abortion is only after the failure of remedial measures, it would hurt women, physicians and ethicists agree that: more importantly, contraception, and in the process of contraceptive care for women, men should know how to take the initiative to share part of the responsibility; Women will have to take the initiative to study and master of contraceptive methods, enhance their own capacity, from passive to active.