CNN
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One of the two drugs used to abort medications can continue to send it by mail to patients without a personal visit with a doctor after the US Supreme Court rejects the claim of the challenge for birth control pills.
“While many women get aborting medicines from a clinic or OB-GYN, others get their pills on their own to self-management or self-management,” said Dr. Daniel Grossman, Professor of Gynecology and Reproductive Sciences at the University of California, San Francisco.
He said: “An increasing group of research indicates that self -abortion is safe and effective.”
MivePristone prevents the hormone hormone progesterone, which is necessary until the pregnancy continues. drug The end of the pregnancy was approved within 10 weeks of pregnancy, which is “70 days or less since the first day of the last menstruation.” According to the US Food and Drug Administration.
In drug abortion, a second medication, Mysoprostol, is taken within the next 24 to 48 hours. Mesoprostol causes the uterus to shrink, creating cramping and bleeding. It was approved for use in other circumstances, such as preventing stomach ulcers, the drug was available in pharmacies for decades.
Together, the two drugs are known as “miscarriage”, which is now used in more than half of the miscarriage in the United States, According to the Goette InstituteA research group that supports abortion rights.
Grossman, who is also a company manager Raising new criteria in reproductive health, A research group evaluates the positives and negatives of reproductive health policies and publishes studies on how miscarriage affects women’s health.
What happens during drug abortion? To find out, CNN spoke with Grosman. This conversation was intensified and edited for clarity.
CNN: What is the difference between abortion medicines in three years and Empty ambition In terms of what a woman faces?
Dr. Daniel Grossman: The empty ambition is performed commonly under a mixture of narcotic drugs, mouth or local anesthesia with intravenous anesthesia, or so -called conscious anesthesia.
Local anesthesia injection is given to the area surrounding the cervical uterus, and the cervix is gently expanded or opened. Once the cervix opens, a small straw -like tube is inserted into the uterus, and a nice vacuum is used to remove the load tissue. Contrary to what some say, if the procedure is performed nine weeks before or so,, There is nothing in the tissues that can be recognized as part of the fetus.
It takes only a few minutes to perform ambition. Then the person is observed for an hour to two hours until any anesthesia fades. We also monitor every patient of very rare complications, such as heavy bleeding.
Drug miscarriage is a longer process. After taking birth control pills, bleeding and cramping can occur within a while. Bleeding is usually heavier when the actual pregnancy is expelled, but this bleeding usually relieves within a few hours. On average, people still suffer from mild bleeding for about two weeks or so, which is slightly more than the ambition of the vacuum.
Nausea, vomiting, fever, chills, diarrhea and headache can occur after the use of a miscarriage, usually everyone who has successful drugs indicates some pain.
In fact, pharmaceutical pain can be very intense. In the studies that I looked at, the average maximum pain that reaches people ranges from seven to eight out of 10, with 10 is higher. However, people also say the pain can be brief, as the load is exactly expelled as the pregnancy is expelled.
The level of cramping and pain can depend on the length of the pregnancy, as well as whether someone has been born before or not. For example, medical abortion is usually in six weeks or less than pregnancy less painful and cramping than the additional that is performed in nine weeks. People who generally have less pain.
CNN: What can be done to help the pain of drug abortion?
Grossman: There are definitely things that can be used to help with pain. Research has shown that ibuprofen It is better than acetaminophen to treat abortion pain. We usually advise people to take 600 milligrams every six hours or so, as needed.
Some people take tramadol, anesthetic analgesic, or a vicodine, a mixture of acetaminophen and hydrocod. The recent research in which it participated in medicines that were found like tramadol is useful if taken preventive before the start of the pain.
Another successful system we have studied combines ibuprofen with nausea called metoclopramide also helped pain. Unlike ibuprofen, these medications require a prescription.
Another study found that the Tens, which symbolizes the stimulus of the electrical nerve across the skin, helps in the pain of abortion medications. It works through pads placed on the abdomen that stimulates nerves through light electric shocks, and thus interferes with pain signals. This is something that people can get without a prescription.
Pain can be a problem that is ignored with drug abortion because, frankly, as doctors, we are not there with patients when they are in their homes they pass by. But since we are doing more research on people’s experiences with drug abortion, it has become quite clear that pain control is really important. I think we need to do a better job to treat pain and make these options be available to patients.
CNN: Are there health conditions that make drug abortion use unknown?
Grossman: Understanding may be dangerous if the pregnancy is outside the womb, which means that the fetus is evolving outside the womb. It is rare, it happens in about 2 of Every 100 pregnancy – it appears to be rare among people looking for drug abortion.
People who have undergone previous pelvic surgery, tube, or abdominal surgery are at risk of pregnancy outside the womb, as well as those with a history of pelvic inflammatory disease. Some sexually transmitted infections can provoke risks, as well as smoking, the date of infertility and the use of infertility treatments such as fertilization in the laboratory.
If a person is taking anticoagulant medications, blood relief, or suffers from bleeding, it is not recommended to abort. Long -term use of stimulants is other contraindications to the use of a miscarriage.
It should be removed from anyone who uses a inside of the uterus, or IUD, before taking MIFEPRISTONE because it may be partially expelled during the process, which can be painful.
People with chronic adrenal failure or inherited a rare disorder called Porphyria They are not good candidates.
CNN: Are there any signs of a problem that a woman should see after undergoing the drug?
Grossman: It may be common to have a low -grade fever in the first few hours after taking Mysoprostol, which is the second drug in drug abortion. If someone has a low-degree-100.4-degree fever to 101 degrees Fahrenheit-which lasts more than four hours, or has a high fever more than 101 degrees Fahrenheit after taking medications, she needs to be evaluated by the healthcare provider.
Heavy bleeding should be evaluated, which will soak full -sized pads or more per hour for two consecutive hours, or vaginal discharge with unpleasant smell has been evaluated.
One of the signs of an ectopic pregnancy is severe pelvic pain, especially on one side of the abdomen. Pain can also radiate back. Another mark is to get Duzi or fainting, which can indicate internal bleeding. These are all very rare complications, but it is wise to be monitored.
We usually recommend that someone suffer from pharmaceutical abortion a person with them within the first 24 hours after taking mezoprostol or until pregnancy passes. Many people specifically choose to perform an abortion of the drug because it can be surrounded by a partner, family or friends.
Most people know that miscarriage is complete because they stop feeling pregnant, symptoms such as nausea and breast tenderness disappear, and it is usually within a week of passing pregnancy. The home urine pregnancy test may remain positive even after four to five weeks of successful abortion of medications, just because it takes a long time until the pregnancy hormone disappears from the bloodstream.
If someone still feels pregnant, it is not sure whether the pregnancy has passed completely or has a five -year pregnancy test After weeks of MivePristone, it should be evaluated by the doctor.
People should know that they can ovulation after two weeks of drug abortion. Most of the birth control options can be started immediately after drug abortion.