I. Induced abortion.
It is a method in which a doctor uses an instrument to enter the uterine cavity to terminate a pregnancy by suction or forceps scraping. The pain of abortion mainly comes from dilating the cervix and the negative pressure of the steel head of the suction device scraping the uterine wall. This painful sensation is the pain of knife scraping.
Second, medication abortion.
It is the use of mifepristone and methotrexate for the purpose of termination of pregnancy. The chemical structure of mifepristone is similar to that of progesterone, which can bind to progesterone receptors, and is 300 times more effective than progesterone in binding to progesterone receptors. It turtles without the effect of progesterone, resulting in apoptosis, partial necrosis and partial or complete detachment of the embryo from the uterine wall due to the loss of progesterone nutrition. Mifepristone is a prostaglandin that causes uterine contraction and elimination of the embryo. The painful contraction of the uterus will be felt when the abortion is performed, i.e. the feeling of a hand clutching the uterus hard.
Comparison of advantages and disadvantages
1, abortion and drug abortion compared, drug abortion in the process of no device into the uterus, after the abortion caused by the possibility of infection is smaller, and the possibility of injury to the endometrium is also small. During an abortion, the suction device enters the uterine cavity and scrapes out the attachment of the uterine wall, which will not hurt the endometrium if the doctor is experienced, but will damage the endometrium if it is not done properly.
The endometrium is like a “field”, if it is scarred, the “seed” may not have “soil” to grow and develop in the future. The abortion may also encounter uterine perforation in special cases.
2, the success rate of drug abortion is 90%, drug abortion failure needs to be performed again to clear the uterus surgery. But because of the drug effect of the uterus has opened, so the pain is much lighter than the abortion surgery. In order to avoid unnecessary trouble, for those women who are better psychologically and can tolerate the pain of the operation, it is worth using abortion.
In view of the relatively small pain caused by drug abortion, more and more women tend to choose drug abortion. In fact, medical abortion is suitable for pregnant women within 7 weeks of menopause, and medical abortion at 7-10 weeks of pregnancy should be hospitalized for observation. In addition, prolonged bleeding and excessive bleeding after a medical abortion are its main side effects, sometimes up to nearly a month long, relatively increasing the chance of retrograde infection.
Persistent vaginal bleeding after a medical abortion is not easy to determine whether it is caused by an incomplete abortion or a side effect of the drug itself. Therefore, for women who have abortion with medication, the tissue should be kept in the hospital for one hour after discharge for observation; or after taking the medication on the third day, the complete pregnancy discharge should be sent to the hospital to ask the doctor to determine whether it is a complete abortion.
4, often do abortion is a contraindicated group of drug abortion. This is because pregnant women who have repeated abortions are prone to endometritis, which leads to a higher chance of endometrial adhesions and incomplete abortions.
5. As a new drug, the long-term complications of mifepristone are not known. Therefore, it is recommended that for those women who intend to have children in the short term, surgical abortion may be preferable, considering the unknown effects of mifepristone on the fetus in the next pregnancy.
For women who are not planning to have another pregnancy within six months of their first pregnancy, it is recommended to choose medical abortion because it has the advantage of less damage to the endometrium, so the possibility of secondary endometritis and infertility is also less.
7, whether it is an abortion or a medical abortion before, must do ultrasound examination, firstly to exclude the possibility of ectopic pregnancy; secondly to measure the size of the fetal sac.
8, the whole process of drug abortion is relatively long, you need to take the medicine at home for 3 days, the day of abortion and then in the hospital after taking the medicine to open the mouth of the uterus, in the hospital to observe a number of hours, the doctor to confirm whether the fetal sac out of the body. The bleeding time after abortion is long. If you have continuous bleeding for more than 1 week, you must go to the hospital immediately and ask the doctor for help. It is very dangerous to take drugs for abortion by yourself.
9. It is also safer for breastfeeding women with a softer uterus to choose a medical abortion. Women who have had a cesarean section have scarred uterus and women with fibroids may have changed the shape of their uterus, these two cases are more difficult to carry out abortion surgery, you can also consider the use of drug abortion.
IV. Painless abortion.
That is, the technique of using general anesthesia in conjunction with the abortion process is almost painless during the procedure. It is suitable for people who are sensitive to pain and also for those who have a fear of abortion. However, it requires that the pregnant woman has normal cardiopulmonary function and no allergic reaction to the anesthetic.
V. Advice.
No matter which method is used, it should be performed in a regular hospital (it is stipulated that only hospitals of grade IIA or above are qualified to perform this type of surgery), never in a small clinic that is not qualified to practice. Otherwise, inflammation may cause tubal blockage, endometritis, scanty menstruation and even serious consequences of secondary infertility.
Sixth, be sure to do a good job of contraception.
Regardless of which method is used, it is a remedy of last resort and carries certain dangers, which may even be life-threatening. The best way to reduce unwanted pregnancies is to use appropriate contraception.
Finally, my answer to the question “is it better to have an abortion or a medical abortion” is: it is best not to have an abortion, and it is best not to kill your child.