Useful information on medical abortion

In case of an unwanted pregnancy or in case of a pregnancy that you can’t keep for various reasons, you will need a consultation of a gynecologist, who will give you answers to questions that are bothering you.

In the Republic of Moldova abortion is allowed by law. Every woman who performs the termination of a pregnancy must be properly informed and is free to choose the method of pregnancy interruption and the method of anesthesia, based on the information given during the counseling.

What means a safe abortion?

Abortion is a safe medical procedure, when it is carried out by qualified medical personnel, with the appropriate equipment, through a correct method and according to sanitary standards.

In case of abortion in the first pregnancy trimester, the manual or electrical vacuum aspiration and medical abortion are recommended, but these methods can only be used up to 9 weeks of pregnancy.

Medical abortion is the method of choice before the 12th week of pregnancy. From the list of surgical methods cervix dilatation and evacuation of conception product with vacuum aspiration can also be recommended.

What is medical abortion?

It is a non-surgical method of unwanted pregnancy interruption, recommended by the World Health Organization as being safe and effective. Medical abortion is the procedure through which you use pills for termination of confirmed pregnancy and this can be achieved both in a medical unit, as well as at home.

The effectiveness of the method represents on average 95-98% and depends on the term of the pregnancy and on the correct administration of the pills for medical abortion.

How does medical abortion work?

This method consists of two stages: in the first stage the pills for unwanted pregnancy are given, and these pills are preventing the development of fetal egg, in the second stage another medication is given, which causes uterine contractions and independent expulsion of conception product.

The regimen for pills administration in case of a medical abortion

The first pill is given on the first day, during the visit to the physician, followed by administration in 1-3 days of the second pill (in the medical clinic or at home, depending on woman’s choice). After 2 weeks a medical visit is compulsory for condition assessment and confirmation of lack of pregnancy.

The symptoms that can be expected after the administration of pills for medical abortion

  • Cramps in the lower abdomen, what can be reduced by administering anti-inflammatory pills such as paracetamol, diclofenac, ketanov etc.
  • Removal of the fetal egg that is associated with more intense bleeding.
  • Hemorrhagic (bloody) moderate or light discharges over the course of 1-3 weeks or even until the next menstruation.

Possible side effects

In some cases the following side effects may develop: nausea, vomiting, headache, dizziness, diarrhea, weakness, fever, chills, all of these being of short duration.

What complications can occur?

Complications are quite rare and can include: pregnancy continuation, incomplete abortion, severe hemorrhage.

What happens in case of continuing pregnancy or incomplete abortion?

In case of pregnancy continuation the woman is given an extra dose of pills, or abortion is completed through manual vacuum aspiration, according to woman’s decision. Incomplete abortion will also require vacuum aspiration.

Advantages of medical abortion:

  • Avoiding surgery and anesthesia;
  • Much lower risks for infectious complications compared with surgical abortion;
  • It is a more “natural” method of pregnancy interruption;
  • It is more confidential and comfortable.

Who can’t use medical abortion for termination of pregnancy?

Women with:

  • ectopic pregnancy or any suspicion for it;
  • intrauterine devices (must be extracted in advance);
  • adrenal insufficiency;
  • coagulopathy or being on anticoagulant therapy;
  • women on therapy with steroids;
  • allergic reactions to medications;
  • term of pregnancy more than 12 weeks.

Over how long after a medical abortion can a woman become pregnant again and when will she have a normal menstrual cycle?

Medical abortion has no negative influence both on the ability of the woman to become pregnant again and on her health in general. Another pregnancy after medical abortion can occur in 10-11 days after the procedure, that’s why it’s a good thing to take a decision about contraception already at the first visit to the physician. Menstruation after medical abortion will start as usual, or about 2 weeks later.

Repeated administration of this method might have a negative influence on the body?

According to medical studies, the repeated use of medical abortion has no negative influence on physical or mental health of the woman.

Where can you do medical abortion?

Choose the closest facility, but also the one that provides safe abortion on the map with public  medical institutions, providing abortion service with data on quality of these services.